Foundations Registration Form
Use this form to enroll in the new member class at Providence Baptist Church in Hayes, VA. The three-week class begins on Sunday, January 25th at 9:00am in the Fellowship Hall.
Full Name
*
First Name
Last Name
Phone Number
*
E-mail
*
example@example.com
Have you completed any portion of the new member class in the past?
Yes
No
If yes, which week(s) did you attend?
First Week
Second Week
Third Week
I don't remember
Submit
Should be Empty: