Thanks for letting us know to reserve a spot for you at the September 12introductory dinner. Please complete the information below and select the Submit button to secure your RSVP. We use this information to create a mixture of life experiences at each table. One form per person.

 

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First & Last Name*:

Address*:

City*:

State*:

Zip*:

Phone (including area code)*:

Cell Phone (including area code):

Email*:

 

I am*: Single Married Divorced Widowed

 

Gender*: Male Female

 

Age Group*: Teen 20-29 30-39 40-49 50-59 60 and above

 

I am*: investigating Christianity a new Christian a seasong Christian brushing up on the basics

 

I attend*: Des Moines First Assembly other church no church affiliation

 

I need childcare for  children, ages: