Registration for City Church 2013 Fall Women's Studies
Please fill out the information below so that we can have an idea of how many to expect.

Monday evenings, 7:30-9:00pm, beginning September 9th
Wednesday mornings, 9:30-11:30am, beginning September 11th

Grace Covenant Presbyterian Church, 1627 Monument Avenue, 23220

Childcare on Wednesday mornings will be $10 per child per week.
**If cost is an issue, scholarships are available for childcare. All requests for financial assistance are confidential. Please contact Meg Haden ( with scholarship questions.

We are excited for you to join us as we study the Psalms together!
Please contact Meg Haden ( with any questions.

Name *
Jane Smith
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Preferred E-mail Address *
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Phone Number *
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Which study do you plan to attend? *
If you attend on Wednesday mornings, how many children will need childcare?
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Please give the name(s), age, and birthday of your child(ren).
John Smith, 26 months, 6/1/2010
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Do you have any other friends who you would like to attend? Please give their contact information here or forward this form.
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Any additional comments or questions?
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