Registration Form for Session Starting Wednesday Sept 2, 2009

(REGISTRATION DEADLINE is Friday, Aug 28)

* NOTE for TEENS 16 and up who wish to join:   The FP4H materials are written for adults age 18 and up.
Please consult your physician for a calorie range that is right for you.

(* = required fields)

* Name:
* Mailing address:
(inc street/PO, city, zip)
Phone Numbers:
(one req, others opt)		 * (H)   (W)   (cell)
* Email:
(one checked most often)
Childcare Needed?
(if you need childcare, inc
names/ages of children)
Message to leaders
(optional):
* Books Needed? Bible Study ($13.59)   (yes/no)

      


* CANCEL WITHOUT SUBMITTING *
* (return to bethanybaptist-wendell.com/1stplace) *