First Assembly of God, Des Moines
Saturday, February 04, 2012

ALPHA RSVP

 
Thanks for letting us know to reserve a spot for you at the September 7 introductory class. Please complete the information below and select the Submit button to secure your RSVP. We use this information to create a mixture of life experiences at each table.
 
If this form fails to submit your RSVP, please email Laurie.
 
One form per person.
 
* indicates a required field
 
First & Last Name*:
 
Address*:
 
City*:
 
State*:      Zip*:
 
Phone* (including area code):
 
Cell Phone (including area code):
 
Email*:
 
I am*: 
Single   
Married
Divorced
Widowed
 
Gender*:
Male
Female
 
Age Group*:
Teen
20-29
30-39
40-49
50-59
60+
 
I am*:
investigating Christianity.
a new Christian.
a seasoned Christian brushing up on the basics.
 
I attend*: 
Des Moines First Assembly
other church
no church affiliation
 
I need childcare for  children, ages: