Fall 2023 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:

Kevin Robinson (hosted by Fionna and Michael Blackman and Ed & Anna Petrukovich on Thursday eve) Sean Lipinski (hosted by Brita and Sandy Colero on Thursday eve) Aaron Caleb (hosted by Amy Geistlinger on Thursday eve) Chris Schriek (host needed) 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.

Yes--let's rock 'n' roll!

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.

Fall 2023 LCA House Church Request Form

Description

Please Fix the Following