Disciple Luke Acts
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Wednesdays at 1 PM or 6:30 PM
Beginning September 6th
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Which class will you be attending?
*
Please select all that apply.
Wednesdays at 1 pm
Wednesdays at 6:30 PM
Is Childcare needed?
*
Please select all that apply.
Yes
No
How many children needing childcare?
*
Payment
Card ($20)
Cash or Check ($20) ($0)
Card ($20)
Cash or Check ($20) ($0)
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Expiration Date/CVC
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Card Billing Address
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Submit
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