Membership Class Registration
Event Timing: February 11-March 11, 2018
Event Address: UCS campus at 2960 New Calhoun Hwy Rome, GA 30161
Contact Emmett Long at
Name(s). Please also include ages/grades of any children. *
Your answer
Email *
Your answer
Phone # *
Your answer
What is the best way to reach you? *
Are you a college student? *
Have you been involved in a particular Radical Life Group? If so, please identify. *
Your answer
Childcare is available for children up to 10 years old if requested in advance. If you need childcare, please list names and ages of children along with any special info we need to know.
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