Fall 2010 Registration
Groups & Classes
Please fill out the form below for a Bible study or small group.

Name:
Address:
City:	State:	Zip:
Phone:
Email:
Verify Email:

Name & Ages of Children (if Requesting Childcare)
Child 1:	Age 1:
Child 2:	Age 2:
Child 3:	Age 3:

If you are interested in participating in one or more of the following groups/classes,
please select the appropriate class(es) from the drop down menu and fill out the specifics as requested below.

Sunday Morning Adult Classes

Class Name:

Leader:

Day of Week:

Time:

Men's and Women's Groups

Class Name:

Leader:

Day of Week:

Time:

Basics for a Godly Life

Class Name:

Leader:

Day of Week:

Time:

Is this your first time to sign up as a group/class participant at Mount Pisgah?	Yes	No
Are you signing up for more than one class?	Yes	No

If yes, list additional classes here

For more information, please contact the FamilyLife Ministry or call 678-336-3225
Mailing address: Attn: FamilyLife, Mount Pisgah UMC, 9820 Nesbit Ferry Rd, Johns Creek, GA 30022
Fax number: 678-336-3235

Fall 2010 Registration Groups & Classes Please fill out the form below for a Bible study or small group.

Fall 2010 Registration
Groups & Classes
Please fill out the form below for a Bible study or small group.