re|engage registration Spring 2020
Online registration for the Spring semester of re|engage is now open. re|enage is a 16-week marriage discipleship ministry that can help grow your marriage, or even resurrect your marriage. Preview nights are available on January 5 and January 12. Attendance at one of these is required; attendance at both is preferred before committing to re|engage. Please call the church office at 823-3734 for more information.
First and Last Names *
Your answer
Anniversary *
MM
/
DD
/
YYYY
His Birthday *
MM
/
DD
/
YYYY
Her Birthday *
MM
/
DD
/
YYYY
Address *
Your answer
His Cell *
Your answer
Her Cell *
Your answer
His Email *
Your answer
Her Email *
Your answer
Do you need childcare? *
If yes, list names and birthdays of each child
Your answer
Church I most regularly attend *
Your answer
Husband marriage rating on a Scale of 1-10 (10 being high) *
Wife marriage rating on a scale of 1-10 (10 being high) *
I heard about re|engage from
Your answer
Questions or Comments
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Anastasia Baptist Church. Report Abuse