Alpha Registration Form
We are so excited you can join us! Please fill in your information below. Our Alpha session will begin on Wednesday March 8, 2023 at 5:30pm at St Dominic Church, 130 Redwood Ave. W.

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What is your name? *
What is your age group? *
What is your phone number? Home? Cell?

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What is your email? *
What is your address?
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Please put me in the same group as________(name). 
Do you have any food allergies?
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I identify most with:
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Do you have anyone that might be interested in joining us? We can send them an email or phone invite for you. Please provide an email address or phone number for them, including their name.
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