Adult Disicpleship Registration Form

Adult Discipleship Registration

Jesus' Message To The Church
A Precept Bible study on Revelation 1-3
begins Sunday September 7
6:00pm in the Fireside Room

Name

                                              Address and Phone (if not member or regular attender)



                                              E-mail Address(es)



Childcare

   Yes, I would like to request childcare

No. of children birth to age 2

                                     No. of children age 3-5

                                     No. of children K-grade 5


Please Note: If you receive an error message after submitting registration,

then there is a problem with the server. Please try again later.
If the problem persists, please contact the church office

If you receive a "Thank You" message, then your registration went through.
You will receive e-mail confirmation from CBC as soon as we receive your registration.
If you have not received email confirmation within 2 business days (Monday - Thursday),
please contact the church office.