JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Life Class 2019 Sign Up
We are so excited you have decided to come to Life Class this autumn. Fill in the details below and we will be in touch with more info!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Surname
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Sex
*
Female
Male
Phone number
*
Your answer
Dietary requirements/ Allergies?
*
Your answer
Who invited you to Life Class?
Your answer
We try and put people together in groups for Life Class, so how would you describe your current stage of life? e.g. Student, full time carer, retired etc
Your answer
We currently provide the extra course materials in the following languages, which would you need?
*
English
Spanish
Simplified Chinese
Other:
Required
How would you prefer to access the extra course materials?
*
Online
Printed booklet
We normally encourage finding childcare for your kids at home, however we know this can be difficult. Would you need childcare to be able to attend?
Yes
No
Clear selection
If you would need childcare please list the sex and age of each child and any special requirements. eg female age 7, male age 5, no needs
Your answer
Do you have any accessibility needs?
*
Yes
No
Required
If yes please describe your needs.
Your answer
Any thing else you would like us to know?
Your answer
I consent to International Harvest Church using my data for Life Class 2019.
*
Yes
Required
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of International Harvest Church.
Report Abuse
Forms
