ALPHA - Winter 2019 Registration Card

Thursdays 6:30 - 8:30 pm / Starts January 24

FOR MORE INFORMATION ON THE ALPHA PROGRAM CLICK ON:

https://alpha.org/about/

ALPHA Information
Name
  •  
E-mail
  •  
Phone --
  •  
Parish Affiliation
  •  
Name of parish
  •  
If you belong to another parish please share the name
ALPHA Group
  •  
Language
  •  
Age Group
  •  
Select age group
Table Sharing
  •  
Names of people with whom you would like to share the same table. (NOTE: They must register separately)
Table Sharing
  •  
Names of people with whom you would like to share the same table. (Note" They must register separately)
Childcare Needed
  •  
Is Childcare desired for children of Kindergarten age or lower?
Number of Children
  •  
Specify number of children
Age of 1st Child
  •  
Age of 1st Child
Age of 2nd Child
  •  
Age of 2nd Child
Age of 3rd Child
  •  
Age of 3rd Child
Age of 4th Child
  •  
Age of 4th Child
Age of 5th Child
  •  
 
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