Event Registration

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Right Start Winter 2020 on Sunday, January 26, 2020 @ 4:00 PM

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Please enter ONLY the primary registrant's (the person filling out this form) information in the fields above.
You will enter information for both participants below.
Only one person needs to be a member to qualify for the discounted price.
1199.00 
1249.00 

MALE
*Male's Full Name
*Male's Address
*Male's Email Address
*Male's Phone number
*Male's Date of Birth
*Male's Age
*Male's Home Church (enter N/A if you don't have a home church)
*M: Are you a member of that church?
*M: Have you been previously married?
*M: Do you have children?
M: If so, please list names and ages of children

FEMALE
*Female's Full Name
*Female's Address
*Female's Email Address
*Female's Phone number
*Female's Date of Birth
*Female's Age
*Female's Home Church (enter N/A if you don't have a home church)
*F: Are you a member of that church?
*F: Have you been previously married?
*F: Do you have children?
F: If so, please list names and ages of children

OTHER
*Are you engaged to be married?
If yes, please indicate wedding date
If you are a member, would you like to be paired with a mentor couple? :
If you are not a member and we have mentor couples available, would you like for us to pair you with a mentor couple? :