Small Group Registration | Mt. Pleasant Church

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Mt. Pleasant Church

Harrodsburg, KY

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859-812-0052

Small Group Registration
(Register only family members that will participate in groups with you.)

Name

Spouse Name

Children's Names & Ages

Email 1

Email 2

Street Address

City

Region/State/Province

Postal / Zip code

Phone Number

Phone Number 2

Occupation(s)

Children's Schools

How long have you attended Mt. Pleasant Church?

Do you or anyone in your family have any food allergies or dietary restrctions?

Would you be willing to host the group in your home occasionally?

Would you be willing to lead a group if needed? (Meaning be the main contact for your group, help organize dinners, & help lead discussions?)

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859-812-0052

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