AGAPE Family Registration Form

AGAPE seeks to provide connection, fellowship, and faith-based opportunities for our Church’s youngest children, from birth to pre-school age, as well as for their parents and families.

We hope you will join us!

For more information or any questions, reach out to:

Advisor: Anna Jervinis,

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Email *
Child(ren)’s Name(s):  *
Parents Name(s):
Parent Email Address(es): 
Parent Phone Number(s): 
What is the best way to reach you? 
What town do you live in? 
Do you or your child(ren) have any food allergies?

What AGAPE events would you be interested in? (Check any)

How often would you want to meet?
Clear selection
Want to be more involved?
A copy of your responses will be emailed to the address you provided.
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