GENESIS Women's Bible Study, 2019-2020
Name (First and Last)
Email address (write "none" if not applicable)
Select the day/time that you would like to attend.
TUE 7:00 - 8:30 PM, PBCC
WED 6:15 - 7:30 AM, PBCC
THURS 9:30 - 11:15 AM, PBCC
TUE 7:00 - 8:30 PM, (Robinson's home in Cupertino)
WED 6:45-8:30 PM, (Young's home in Saratoga)
Please check boxes below if you have difficulty with hearing or with navigating stairs.
I have difficulty with hearing.
Please put me in a downstairs classroom.
Please specify your age range. This will help us balance the groups.
70s and up.
THURSDAY MORNING GROUPS ONLY: Please name one friend you'd like to have in your group (not a leader):
Emergency Contact: Name & Relationship
Emergency Contact: Phone Number
Is there anything else you'd like us to know?
Check the box if you will be bringing your child(ren) ages 5 and under with you on Thursdays
Please register your children for Women's Bible Study Children's Program on the PBCC homepage
Yes, I will be bringing my child(ren) ages 5 and under
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service