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2009: Year of the Bible
YOB NB Small Group Registration
*
Required
First Name
*
Last Name
*
Email Address
*
Address Line 1
*
Address Line 2
City
*
State
*
--
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FL
FM
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MH
MI
MN
MS
MO
MP
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
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VI
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VA
WA
WV
WI
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ZIP Code
*
Home Phone
*
(
)
-
ext.
Mobile Phone
(
)
-
ext.
The Hope NorthBranch new small group opportunity will be on Mondays, April 20 - May 18, from 6:45 to 8:00 pm at The Station.
To host a new small group for five weeks at Hope NorthBranch, please indicate the host training session you can attend at Hope West Des Moines.
I will attend one of the following Host Training sessions:
- Please Select One -
Thursday, April 16: 6:30 - 7:45 pm at Hope WDM
Sunday, April 19: 12:30 - 1:45 pm at Hope WDM
To register for a new small group at Hope NorthBranch, please complete the following information:
What is your group preference
*
Men's group
Women's group
Couple's group
Mixed group
No preference
What is your marital status?
*
Single
Married
Divorced
Widowed
What is your age group?
*
20-29
30-39
40-49
50-59
60+
What is your gender?
*
Male
Female
If you would like to be in a group with a specified person, please list their name:
Thank you for filling out the form, a confirmation email will be coming to you shortly.
Last Published: March 26, 2009 9:10 PM
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