Membership Form

Membership Form
Full Name*

First NameLast Name
E-mail*
example@example.com
Primary Phone*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Married?*

YesNo
Spouse Name (if applicable)
How many family members will be in attendance?
Names of all family members attending
Will you need childcare?*

YesNo
Names & Ages
Which dates would you like to attend the class? (Sunday classes run for three consecutive weeks from 11:00am-12:00pm.)*

Sundays, January 11, 18, 25, 2026 - 11:00AM - 12:15PM - Room 111DSundays, March 1, 8, 15, 2026 - 11:00AM - 12:15PM - Room 111D
By filling out this form it is showing you are interested and as the date gets closer you will receive an email!
Should be Empty: