Alpha logoAlpha Application FormAlpha logo

It would be a great help if you could fill in this form and return it to let us know you are coming.

Please enrol me on the next course:-

Name: ........................................

Address: .....................................

             ......................................

             ......................................

Post Code:  .........................

Telephone: .........................(h)

                 .........................(w)

 

Are you under 25[  ]   25-35[  ]    35-65[  ]    over 65[  ]

(please tick appropriate box)

 

I would like to join *morning/evening Alpha.

(*delete at applicable)

Please note we are not always able to run a morning session

 

Please tick if you require a special diet [  ]

 

How did you hear about Alpha?

............................................................................................

............................................................................................

 

------------------------------------------------------------------------

 

Please return this form to:

Alpha Administrator

St George's Christian Centre
Barnett Wood Lane
Ashtead
Surrey
KT21 2DA

 

------------------------------------------------------------------------


previous/backBack to main Alpha page

Please check out our new website for all the latest information sgsgashtead.com

homeBack to our Home Page