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Discipleship Group Registration
Head of Household Contact Info
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Phone
*
No Punctuation | EX: 4326834506
Your answer
Birthdate
*
MM
/
DD
/
YYYY
How many children below the age of 12 will be attending the group with you?
*
Choose
None
1
2
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7
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11
12
Do you have a spouse who will be attending with you?
*
Yes
No
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