Fall 2022 LCA House Church Request Form
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.
Name
*
Email
*
This address will receive a confirmation email
Phone
*
I am signing up for:
*
Please select one option.
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:
*
Please select one option.
Marty Rowe (hosted by Katelyn and David Zinz on most likely Wednesday eve)
Kevin Robinson (hosted by Fionna and Michael Blackman on Thursday eve)
Tyler Young (hosted by Brita and Sandy Colero on Thursday eve)
Aaron Caleb (hosted by Amy Geistlinger and Anita and David Peter on Thursday eve)
Put me in any of the above
Do you have any requests to be in the same house church as anyone else?
*
Other comments (e.g. pet allergies)
I understand that house churches run until May. I realize committing until the end is valuable.
*
Please select all that apply.
Yes--let's rock 'n' roll!
Submit
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.
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