Alpha

Use this form to register an interest in the Alpha course.
There is one being planned that will start in April 2011. 

Full Name:*
Full Address:
Contact phone number:*
Please tick any boxes that are appropriate:	I do not know anything about Alpha I know a little about Alpha I have done an Alpha course before I have done part of an Alpha course before
email address (if you have one):
Do you currently attend a church:*	Yes No
I would like...:	To be registered on the next course To be sent more information about Alpha To talk to someone about Alpha
If you said that you attend a church, which one do you attend?:
How Did You Hear About Alpha?:
What are some of your interests / hobbies?:
Please enter the verification number on the right:*
* Required Fields