DCC: Study of Abraham, Fall 2026

CLASS: Please confirm you are registering for:

GROUP: If possible, I would like to be placed with the following group leader:

NAME

First NameLast Name

EMAIL

example@example.com

ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

MOBILE PHONE

Area CodePhone Number

AGE

IN CASE OF EMERGENCY: Please enter the FIRST and LAST NAME of the person we can contact in the event of a medical emergency.

Full Name of Emergency Contact

IN CASE OF EMERGENCY: Please enter the PHONE # of your emergency contact named above.

Area CodePhone Number

MEDICAL INFO: Please describe any medical conditions we need to be aware of in the event of an emergency (e.g., heart problems, blood pressure, diabetes, life-threatening allergies, etc.).

CHURCH: What church do you regularly attend?

Church Name

VOLUNTEERS are needed! Please check any areas you are willing and able to serve in THIS semester. (All volunteers must arrive early. Training will be provided.)

Small Group FRIEND #1: Please type in the NAME of a friend you would like to have in your small group (limit ONE name here).

Name of Friend

Small Group FRIEND #2: Please type in the NAME of a second friend you would like to have in your small group (limit ONE name here).

Name of Friend

BOOK & REGISTRATION OPTIONS: Every student must pay a $25 registration fee AND purchase the study book. Please choose your registration and book payment option below:

PAYMENT OPTIONS: Please select one of the following options to indicate how you will pay for your registration and book.

If you need assistance with your registration, please contact Lynne at 602-689-5747 or email us at LifePointRegistrar@gmail.com for help.