LCA House Church Request Form

Name

This address will receive a confirmation email

Phone

I am signing up for:

Myself Myself and others in my family

If you answered "Myself and others in my family" above, please list the family members who will be participating by name and include their age.

Indicate your preferred house church:

Marty Rowe Jerry & Lou Litowski Brendalee Robinson Sandy Colero & Ariel Townsend Aaron Caleb & Monica Bruns

Do you have any requests to be in the same house church as anyone else?

Other comments (if you participated in a house church this past spring, please indicate which one here):

Description

We're glad you're considering joining a House Church! Please fill out this request form and click submit. We'll be sure to get back to you soon.