Family Night Meal & Bible Study

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Family Night Meal Begins at 5:30pm and Bible Study starts at 6:25pm

Name

*

Email

*

This address will receive a confirmation email

Total Number of Adults Attending

Please select one option.

1 2 3 4

Total Number of Children Attending:

Please select one option.

1 2 3 4 5 6

Adult Bible Study:

Please select all that apply.

Living in Light of Eternity Names of God Bible Memory Class FIYAH

I would like to help with: *Please check all that apply

Please select all that apply.

Nursery Preschool K - 1st Grade 2nd - 4th Grade Youth Jr. High Youth Sr. High Meal Delivery to Shut Ins

Date(s) I would like to help:

Please select all that apply.

1.8.25 1.15.25 1.22.25 1.29.25 2.5.25 2.12.25 2.19.25 2.26.25

Payment - You can choose to pay at Family Night instead of online.

Pay at Family Night (0) 1 Person ($6.00) 2 ($12.00) 3 ($18.00) Family ($20.00)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

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