subject_line
Certainty in Uncertain Times Registration
Thank you for your interest in Certainty in Uncertain Times! Please provide the information below and we will help you get connected with a small group.
First Name
*
Last Name
*
Date of Birth
*
+
Email:
*
Mobile Number:
*
Marital Status:
*
Married
Single
Do you have children?
*
Yes
No
Please select all age ranges that apply to your child(ren):
*
Birth to 5 Years
K to 5th Grade
JHigh
High School
College
Adult
Small Group Options:
*
I would like to participate with my Bible Study Class.
I do not have a Bible Study class but would like to participate in Certainty in Uncertain Times.
Name of Class:
*
Check all that apply:
*
I am interested in daytime options.
I am interested in Wednesday night options.
I am interested in finding a Bible Study class and participating in their group.
Comments or Questions?