Fall 2017/2018 Adult Registration

WNL Fall Session Adult Classes:

Fall Semester:  Classes will begin on September 6th through November 15th with Fall Break week off.

Class Time:   5:30 - 6:30 pm
Dinner:  6:30 - 7:00 pm

*$60 Fall Semester Dinner/$7 meal if you pay weekly

Please complete a separate form for each person you wish to register. 

*Full Name

*Date of Birth (mm/dd/yyyy)

*Names of Children Attending and Ages

*Mailing address/city/zip

*Home Telephone (xxx-xxx-xxxx)

*Email Address

*Class Attending

Choose ONE

*Will you be joining us for WNL dinner? ($60/semester)

Would you be willing to volunteer to help with WNL?

*Will you need the nursery for any children under the age of 2?

If so, names of each child and their age that will be in nursery care.

*Name of Emergency Contact

*Emergency contact's cell number (xxx-xxx-xxxx)

*Church Affiliation