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Alpha Registration Form
Alpha Registration Form
* Required
First Name *
Last Name *
 
Email Address * (For example: name@company.com)
 
Address Line 1 *
Address Line 2
City *
State *
Zip Code *
 
  Area Code Phone Number  
Home Phone *
  
Mobile Phone
  
 
Please register me for Alpha at *
Lutheran Church of Hope, West Des Moines
Hope NorthBranch, Ankeny
 
What is your marital status? *
single
married
divorced
widowed
 
What is your age group? *
20-29
30-39
40-49
50-59
60+
 
What is your gender? *
male
female
 
I am *
Investigating Christianity
A New Christian
A Seasoned Christian, basics refresher
 
I attend: *
Hope
Another Church
No Church Affiliation
 
Session Desired: *
Sept. 14 - Nov. 16 (Sundays)
Jan. 11 - March 8 (Sundays)
 
If you would like to be in a group with a specified person, please list their name:
 
Are you attending with a small group? *
Yes
No
 
I will need professional childcare provided for my children *
yes
no
 
Please indicate the full name, gender birthdate of each child needing care:
 
Cost: Book fee $5, free-will offering for dinner, retreat cost to be determined. Statistical information is gathered solely for the purpose of small group formation.
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