Re|Engage Registration

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This registration is for the Re|Engage located at The Heights Church (Richardson, TX). All information provided will only be viewed by the Re|Engage Leadership Team.

Name of Couple *

Email *

Phone *

Address *

How did you hear about Re|Engage?

Are you currently a member of a local church? If so what church?

If you'd like, please tell us a little bit about yourself.

There is a $100 registration fee for each Re|Engage couple. This fee provides you with all the material you will need and helps with childcare costs. Please bring cash or check, made payable to "The Heights," to your leaders the first session. Inability to pay should not preclude participation - just let us know if you are in need of a partial scholarship and we'll contact you with more information. *

I'll bring cash or check the first session.

I am requesting a scholarship.

Will you need childcare? *

Yes

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