MyCircle Registration Form

Please fill out this form and click submit.

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Home Church

*

Please select one option.

Renovation Church Covenant Church Missio Church Vintage Faith Clay Community Church Radiant Church Grace Community Church Christ Church Risen Hope

Please list any dietary restrictions if applicable

Childcare

Childcare will be provided for the duration of the event. Children can be dropped off 15 minutes prior to the start of the training and should be picked up promptly at the end.

Childcare is available up to 5th grade.

Do You Need Childcare

*

Please select one option.

Yes, please No, thanks

If Yes, how many, and what ages

Payment

MyCircle Registration $15.00

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Please fill out this form and click submit.

Please Fix the Following

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