GENESIS Women's Bible Study, 2019-2020
Name (First and Last) *
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Phone number *
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Email address (write "none" if not applicable) *
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Select the day/time that you would like to attend. *
Please check boxes below if you have difficulty with hearing or with navigating stairs.
Please specify your age range. This will help us balance the groups.
THURSDAY MORNING GROUPS ONLY: Please name one friend you'd like to have in your group (not a leader):
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Emergency Contact: Name & Relationship
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Emergency Contact: Phone Number
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Is there anything else you'd like us to know?
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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
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