sign up-New Partner in Ministry

last name:
first name:

spouse's  name (if attending):

address:

city:

zip:

day phone:

 -

eve phone:

 -

email:

please list names of any people
who will be attending with you:
do you need childcare?   yes     no
if yes, please list names and 
ages of children:
(0-5 yrs old only) 
date:
comments: