DISCIPLE LIFE online REGISTRATION form

Please utilize this form to assist our facilitators in preparing for this semester's courses.
First Name
Last Name
Email Address
Phone Number (Format: 999-999-9999)
Will your spouse be attending with you?
If yes, please share your spouse's name.
Will your children be attending childcare?
If yes, please check off the age appropriate for your children?
If yes, the number of children for childcare?
What course are you attending?
Yes I understand there is a material cost for some of these courses and is due Feb 1st.
Please answer the simple math question below to submit the form.
2 + 2 =