Name
Address
City
State
Zip
Email
Phone
Cell Phone
Home Church
Occupation
Physical Limitations
Age Group	under 35 35-50 51-65 over 65
Gender	Male Female
Small Group Preference	singles men & women men only women only
	Note: It will be assumed that married couples want to be placed together in the same core group unless otherwise specified.
Bible Knowledge	none little medium advanced
Current class member	yes no
How did you hear about Seeking Truth?

After completing the registration form, you will receive a confirmatory email with instructions regarding where to send your payment. The cost for the class is $75. Confidential scholarships are available upon request.

Once payment is received, your registration will be complete and you will receive a confirmatory email. Space is limited and on a first come first served basis. Your spot is not guaranteed until payment is received. No refunds will be issued after June 15th.