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Wired 4 Ministry Class Registration Form

Please complete the form below to register for a Wired 4 Ministry class. If you
have problems submitting this form, please contact the MPUMC Web Forms Coordinator.

First Name:
 *
Last Name:
 *
Home Phone:
 *
Email Address:
 *
Work/Cell Phone:
 *
Address1:
Address2:
City:
State:
Zip Code:
Contact Method:
 
I've Already Attended:
 
Register me for Wired 4 Ministry:
Yes
No
Wired 4 Ministry: Discover Your SHAPE" class! (2 1/2 hours)
(Pre-class exercises to be completed are available in the Involvement Center in the white drawers by the door.)
 
Time/Day Preference:
Month Preference:
 
Register me for Wired 4 Ministry 201 (I've already taken W4M 101):
Yes
No
Wired for Ministry 201: Discover Your Passion Empowering Purpose" class! (8 hrs. over 4 wks)
 
201 Day Preference:
201 Time Preference:
 
Contact me about plugging into Ministry:
Yes
No
 
Comments:
Security code:
 *
* indicates a required field

 
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