Greetings, DuPage AME Member!
Please complete the online registration to participate in the In-Home Bible Study on Friday, July 18th.
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= Required fields
DuPage AME Church - In-Home Bible Study Registration
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Name:
Street Address:
City, State Zip:
,
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Email:
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Telephone Numbers:
Home:
Cell:
Total number of family members attending (including yourself)
1
2
3
4
5
6
7
8
9
10
Attendee Information
Attendee Name:
Attendee Age:
Adult (Over 12)
Youth (7-12)
Child (2-6)
Attendee Name:
Attendee Age:
Adult (Over 12)
Youth (7-12)
Child (2-6)
Attendee Name:
Attendee Age:
Adult (Over 12)
Youth (7-12)
Child (2-6)
Attendee Name:
Attendee Age:
Adult (Over 12)
Youth (7-12)
Child (2-6)
Attendee Name:
Attendee Age:
Adult (Over 12)
Youth (7-12)
Child (2-6)
Attendee Name:
Attendee Age:
Adult (Over 12)
Youth (7-12)
Child (2-6)
Attendee Name:
Attendee Age:
Adult (Over 12)
Youth (7-12)
Child (2-6)
Attendee Name:
Attendee Age:
Adult (Over 12)
Youth (7-12)
Child (2-6)
Attendee Name:
Attendee Age:
Adult (Over 12)
Youth (7-12)
Child (2-6)
Attendee Name:
Attendee Age:
Adult (Over 12)
Youth (7-12)
Child (2-6)
Location Information
Preferred Location
Aurora (East)
Aurora (West)
Bolingbrook (North)
Bolingbrook (South)
Downers Grove
Glen Ellyn
Lisle
Lombard
Naperville (North)
Naperville (South)
Oak Park
Plainfield
Romeoville/Joliet
Schaumburg/Hoffman Estates
South Suburbs
Wheaton
Other
If Other
Secondary Preference
Aurora (East)
Aurora (West)
Bolingbrook (North)
Bolingbrook (South)
Downers Grove
Glen Ellyn
Lisle
Lombard
Naperville (North)
Naperville (South)
Oak Park
Plainfield
Romeoville/Joliet
Schaumburg/Hoffman Estates
South Suburbs
Wheaton
Other
If Other
Additional Information
Would you like to volunteer to Host a Study Session at your Home, Facilitate a Session or Assist the Stewardship Commission?
Host
Facilitate
Assist
Additional Comments:
Before submitting this registration, please verify that all information provided is correct. Thank You.