Ladies Cocoa and Conversation

KBC Women's Enrichment Ministry

Invite You
The Women's Enrichment Ministry will be hosting the Cocoa and Conversation on Saturday, February 28th from 10am -12 noon.

We are asking each person attending to "Please bring five identical items of one of your favorite things, each costing under $5, to share during our conversation time.”

Ladies of all ages are welcome.
Main Contact Name*

First NameLast Name
E-mail*

Confirmation Emailexample@example.com
Phone Number*
KBC Member*

YESNO
How many additional Ladies (18yrs and above) are you registering?
0-5 Ladies
Please List the Additional Ladies You are Registering

( ages 18 and up)
Lady1 Name*

First NameLast Name
KBC Member*

YESNO
Lady2 Name

First NameLast Name
KBC Member*

YESNO
Lady3 Name

First NameLast Name
KBC Member*

YESNO
Lady4 Name

First NameLast Name
KBC Member*

YESNO
Lady5 Name

First NameLast Name
KBC Member*

YESNO
How many children ages (17yrs old and younger) are you registering?*
0-5 children
Please List Child(ren) Names:

( under 18 years old)
Child1 Name*

First NameLast Name
Age*

10 and under11 - 17 years
Child2 Name

First NameLast Name
Age*

10 and under11 - 17 years
Child3 Name

First NameLast Name
Age*

10 and under11 - 17 years
Child4 Name

First NameLast Name
Age*

10 and under11 - 17 years
Child5 Name

First NameLast Name
Age*

10 and under11 - 17 years
Should be Empty:

KBC Women's Enrichment Ministry