"His Needs, Her Needs" Small Group Registration
Event Timing: Sunday Nights in January (5th, 12th, 19th) & February (2nd, 9th, 16th) at 5:00 PM
*Childcare is provided for all families who register on or before 12/31/19
Email address *
WIFE First & Last Name: *
Your answer
Best contact number for COUPLE: *
Your answer
HUSBAND First and Last Name: *
Your answer
Will you need childcare for the 6- week Session (Jan 5th, 12th and 19th + Feb 2nd, 9th, and 16th)? *
If you answered "Yes" above, please list the Names AND ages of each child below:
Your answer
Please choose a week that works best for you to bring a "snack" to share with the group ***we will only assign you to one week but please check any and all dates that you would be available *
Required
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