Alpha

Use this form to register an interest in the Alpha course we will be running starting on Wednesday 23rd September 2009. 

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