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Singles Ministry Registration Form
 
(*) Denotes required fields
 Demographical Information:
Church Home:
 
First Name*:
 Last Name*:
 
Address*:
  
City*:
   State*:
Zip* :
 

Email:*
Age Range:
26-35 36-45 46-55 56+
Workshop Request (Please choose one for each time slot 2 total)
3:30 pm 4:30 pm 5:30 pm
Race of Endurance
Pastor Jerry DeJesus

Spiritual Gifts
Carolyn Sallion

 Mission and Purpose
Pastor Leeroy Coleman
Free to Love
Pastor Curtis Fox		 Fortifying the Links
Pastor Robert Edwards		 Debt Free
Rodney Watson

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*The Mt. Rubidoux Seventh-day Adventist Church does not share any information you submit to third parties
. This information is kept confidential and is used solely for the purposes for online registration.