Registration Form

Registration Form

Starts September 4, 2024
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Which Study are you signing up for?*

Wednesday Mornings from 9:15-11:00amWednesday Evenings from 6:45-8:15pm
Do you have someone you would like to be with in small group?
*We will do our best to match these requests

Do you need childcare?*

YesNo
PLEASE NOTE! There is currently a waiting list for childcare for Wednesday mornings and Wednesday evenings. You will be contacted if space becomes available.
Child's Name*

First NameLast Name
Child's Birthdate*

MonthDayYear
Child's Allergies
Add another Child?*

YesNo
Child Number 2's Name*

First NameLast Name
Child Number 2's Birthdate*

MonthDayYear
Child Number 2's Allergies
Add another Child?*

YesNo
Child Number 3's Name*

First NameLast Name
Child Number 3's Birthdate*

MonthDayYear
Child Number 3's Allergies
Add another Child?*

YesNo
Child Number 4's Name*

First NameLast Name
Child Number 4's Birthdate*

MonthDayYear
Child Number 4's Allergies
Add another Child?*

YesNo
Child Number 5's Name*

First NameLast Name
Child Number 5's Birthdate*

MonthDayYear
Child Number 5's Allergies
Add another Child?*

YesNo
Child Number 6's Name*

First NameLast Name
Child Number 6's Birthdate*

MonthDayYear
Child Number 6's Allergies

When / How do you want to pay?*

Pay Now (Online Credit/Debit Card Only)Pay Day of (Cash Only)

Pay For This Class Now:

To Be Found FaithfulFall Women's Study @ CB

$15.00 WM To Be Found Faithful

Total

$0.00