Road to Bethlehem Registration Form 2023

1

Name* This field is required.

First Name

Last Name

2

E-mail* This field is required.

3

Phone Number* This field is required.

Area Code

Phone Number

4

Which night will you attend?* This field is required.

Friday, December 8th

Saturday, December 9th

5

Friday, December 8th* This field is required.Please add the total number in your group in the field next to the time slot you want to attend

6

Saturday, December 9th* This field is required.Please add the total number in your group in the field next to the time slot you want to attend

7

Please verify* This field is required.