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Focused Living 2008-2009 - Online Registration

We're excited that you're going to join us for Focused Living this year! Please fill out the following form and your information will be forwarded to our Leadership Team. We look forward to seeing you soon!

Focused Living Leadership Team
Front Row: Pamela Meyer (treasurer), Julie Krommenhoek
(Co-cordinator), Kathy Dye (Registrar) Back Row: Joan Kramer
(Co-Facilitator Coodinator), Jeanne Campbell (Facilitator Coordinator), Barbara Butlin (Coordinator), Betsy Ahlberg (Missions)

Click "Submit" when you are done. You will receive a confirmation email within a day or two.

First Name:
Last Name
Street Address:
City: Zip Code:
Home Phone :
Cell Phone:
Email Address:

Are you new to Focused Living?

      

Age Group



Birthday (Month/Day)
Previous Bible Study?


Bible study facilitator experience?


Church Attending Member?
Special Friend You Wish to be In Small Group With: (optional)
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Childcare Registration: Please fill in the info below for each child that you would like to register to attend the Bible Playhouse program while you are in Focused Living:
Child #1 Name:
Birthdate :
Allergies/Special Concerns:
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Child #2 Name:
Birthdate :
Allergies/Special Concerns:
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Child #3 Name:
Birthdate :
Allergies/Special Concerns:
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Other Questions or Comments:










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