Christ, Coffee & Conversations Registration
Email address *
Name *
Your answer
Best contact number *
Your answer
Age range *
What city do you live in? *
Your answer
Marital status *
Do you have children? *
Which date are you registering for? (may select more than one) *
What are some topics or questions you would like to discuss during our monthly conversations? *
Your answer
Where are some cities you would like to have our monthly conversations? (select all that apply) *
How do you hear about us? *
To be added to our email list and stay connected with us online, please add your name and social media handles below (Facebook, Twitter, Instagram-e.g. @ladyinwaiting222) *
Your answer
A copy of your responses will be emailed to the address you provided.
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