Reintegrating Faith for the Family 

Christian Parenting Workshop Registration Form

Saturday February 24th 2017          $25 single adult or $35 per couple

Required fields are followed by a *

First attendee name *
First Name
Middle
Last Name
Second attendee
First Name
Middle
Last Name
Address
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Email address*
Contact phone number*

Childcare will be provided if registration is completed by February 17th!

Do you require childcare?*
How many children do you have for childcare?
Please list the ages of the children.
Name and City of home church?

Please make sure that all applicable fields are filled in as completely as possible.

 When clicking the submit button above you are stating that you are committing to attend the workshop on February 24th and acknowledge the fee associated.