Please print this form out, fill in and return to
Church on the Rock
1780 SE 4th Avenue
Oak Harbor, Wa. 98277

ALPHA REGISTRATION FORM

Please fill in the form so we can plan meals and can arrange child care.

Names:
________________________________________________________________

________________________________________________________________

Address:
________________________________________________________________

________________________________________________________________

Home phone:
________________________________________________________________

It would be most helpful if you could give up an idea of your age?
______________

______________

Children's names and ages (for childcare)
________________________________________

________________________________________

________________________________________

________________________________________

________________________________________