West End Presbyterian Church - WEPC - A Community Of Faith Expressing Itself Through Love.
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2008 Home Groups Enrollment
updated: Wednesday April 2, 2008
2008 Home Groups
Enrollment Form
Current Date: 5/16/2008
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
State
Postal / Zip Code
Home Phone:
### ###-####
Work Phone:
### ###-####
Email Address:
*
Have you been in a home group before at WEPC?:
Yes
No
If yes, when?
Who was the leader?
Which evenings of the week are possible for you to meet?
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Please choose your age group:
Age 20 or younger
Age 21-26
Age 27-34
Age 35-49
Age 50-64
Age 65 and over
Are you:
Married
Single
Do you have children?:
Yes
No
If so, their ages:
How would you describe youself?:
Interested in exploring Christianity
I've been a Christian for less than 2 years
I've been a Christian for 2-10 years
I've been a Christian for over 10 years
Would you be interested in hearing more about WEPC's
Home Group Leadership Training Course?
:
Yes
No
What type of group would you prefer?:
Coed
Women Only
Men Only
Is there anything else you would like to tell us about yourself to help us place you?:
9008 Quioccasin Road • Richmond, VA • 23229 | phone - 804-741-6562 | fax - 804-741-8884 |
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| created by:
Brian Zollinhofer