Alpha Registration Form
- Cathedral of the Immaculate Conception - Hosted at Our Lady of Perpetual Hope Parish in Rothesay
Location
31 Gondola Point Rd, Rothesay NB, E2E 5J8.
Date & Time
Start date: Monday January 19th 6:30pm
Attendee Information
Please fill name and contact information of attendees.
Your Name
*
Mr.
Mrs.
Ms.
Miss
Prefix
First Name
Last Name
Email Address
*
example@example.com
Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please indicate your age range
*
18-30
31-45
46-55
56-65
66 plus
Are you RSVP'ing for the Kickoff or the full Winter session
*
Kickoff only for now
Kickoff and Winter Session
Winter Session
Dietary Restrictions
Will you have a guest with you?
Yes
No
Guest Name
*
Mr.
Mrs.
Miss.
Ms.
Prefix
First Name
Last Name
Email Address
*
example@example.com
Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please indicate your guest age range
*
18-30
31-45
46-55
56-65
66 plus
Dietary Restrictions
Would you like to be updated about the upcoming events?
Yes
No
How did you hear about Alpha
Invited by a friend
Heard about it in Church bulletin
Heard testimony in Church
Heard about it in the homily
Online/Facebook/X
Other
Submit
Should be Empty: