Membership 101 Registration

Membership 101 Registration

Classes will be held via Zoom
If more than one adult is registering, please include emails for both. They will be used for class correspondence. Thank you!
Name *

First Name Last Name
Email
example@example.com
Phone Number *

Area Code Phone Number
Name

First Name Last Name
Email
example@example.com
The class will be held from 6-8:30 p.m.

Monday, February 8, 2021
Will you require childcare? (infant through pre-K)

Yes No
If yes, how many children?
Name of Child (1)
Date of Birth

Month Day Year
Child 1
Name of Child (2)
Date of Birth

Month Day Year
Child 2
Additional information or comments
Enter the message as it's shown *
Questions? Contact Kathy Johnson at 713-985-3834 or kjohnson@stmartinsepiscopal.org.
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