Alpha Course Registration Survey

Alpha Winter 2012 Registration

The Alpha course is an opportunity for anyone to explore the Christian faith. It's relaxed, low key, friendly and fun. It's a place where people can come and ask questions, delve into issues and look for answers together.

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1. Name

Name First
Last

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2. Email

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3. Phone Number

Phone Number

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4. If you and your spouse are coming as guests together, do you want to be in the same group as your spouse?

If you and your spouse are coming as guests together, do you want to be in the same group as your spouse? Yes

5. Tell us a little about yourself
When building our small groups in Alpha we want to do our best to place you in a group where you will have the best experience possible. Please answer the following questions so we can learn a little more about you.

I am (a):

Tell us a little about yourself When building our small groups in Alpha we want to do our best to place you in a group where you will have the best experience possible. Please answer the following questions so we can learn a little more about you. I am (a): Exploring Christianity

New Christian

Long-time Christian

6. Age Range:

Age Range: Under 20

20-35

36-45

46-60

60+

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7. Childcare Needs

Childcare is available for children up through 5th grade. Our childcare facilities are located just down the hall from where we will be meeting. Please plan to arrive early enough to complete the check-in process. Childcare is FREE and we can also provide a kid's meal if you request one.

Childcare Needs Childcare is available for children up through 5th grade. Our childcare facilities are located just down the hall from where we will be meeting. Please plan to arrive early enough to complete the check-in process. Childcare is FREE and we can also provide a kid's meal if you request one. Yes, I need childcare

No, I do not need childcare

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8. How many children will you be bringing for childcare?

How many children will you be bringing for childcare?

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9. Kid's Meal

Kid's Meal Yes, my child(ren) will need a kid's meal.

No, my child(ren) will not need a kid's meal.

Alpha Course RegistrationExit this survey

*1. Name

*2. Email

*3. Phone Number

*4. If you and your spouse are coming as guests together, do you want to be in the same group as your spouse?

5. Tell us a little about yourselfWhen building our small groups in Alpha we want to do our best to place you in a group where you will have the best experience possible. Please answer the following questions so we can learn a little more about you.I am (a):