Bible Study Fellowship registration
Please complete the information below in order to be registered in the 2019-2020 BSF class to be held at West Valley Christian church.
Class begins on 9/10/19 and will be held every Tuesday night from 7pm-8pm.
If you have questions, please contact Juleen Lowrance at JuleenLowrance@gmail.com
First Name *
Last Name (Family name) *
Gender *
Birth month (MM) *
Birth Year (YR) *
Address *
Primary phone *
Is your primary phone # a cell or home number? *
Email address *
Marital status
Clear selection
Occupation
Medical Information (please list any physical or health issues or indicate "none") *
Emergency Contact (Name) *
Emergency Contact (Phone) *
Church Name, City, and Denomination
Bible Knowledge
Clear selection
Medically Trained
Clear selection
Preferred Spoken Language
Preferred Written Language
Clear selection
Previous BSF Participation
Clear selection
Previous BSF class location
Completed BSF Studies
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