I would like to register for Women's Bible Study

*Last Name

*First Name

*Address

*City/Zip Code

*Email Address

*Best Phone Number to Reach Me

Are you new to WBS this year?

Is Autumn Ridge your home church?

*Would you like to receive WBS updates (announcements, lecture notes and questions) via email?

*The session I plan to attend weekly is

*Small Group Preference (select one)

I am a Seeker/New Christian (I have limited Bible knowledge)?

*I will need childcare (AM childcare 0-5 yrs old, PM childcare 0-3 yrs old)

-------------------

--Child 1--

Name

Birthdate

Potty Trained

Confident walker

--Child 2--

Name

Birthdate

Potty Trained

Confident walker

--Child 3--

Name

Birthdate

Potty Trained

Confident walker

--Child 4--

Name

Birthdate

Potty Trained

Confident walker

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Additional Questions or Concerns