Alpha Event Registration
Event Timing: Tuesdays, January 12th - March 23th, 2021 - 7 til 8:30 pm (ten week series) - break March 16th
                       Also, retreat on Saturday, February 20th, 2021
Event Address: Sacred Heart Catholic Church 538 Central Blvd., Danville, VA 24541
Contact us at (434) 792-9456 or or your friend that invited you.

Please complete a separate registration for each person that will be attending.  Participants must be High School Students in the 9th-12th grades.  For exceptions, contact Joyce at 434-792-9456
Upon registration you will receive a welcome email and instructions on setting up your electronic device with a link to zoom.  Each weekly session will be offered virtually.
Sign in to Google to save your progress. Learn more
Full Name (First and Last) *
Email *
Full Mailing Address *
Phone *
Age *
Highschool - College Name *
Grade *
Dietary restrictions *
Parent Full Name *
Parent Email Address *
Parent Phone Number *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy