Help for the Rough Times Registration Form

Help for the Rough Times of Life Registration Form

Your Name Phone

Email

REGISTERING FOR:

DIVORCE CARE 13 sessions (next series begins Tuesday, Sept. 3, 2013 at 6:30pm)

DC4K --Divorce Care for Kids 13 sessions (next series begins Tuesday, Sept. 3, 2013 at 6:30pm)

GRIEF SHARE 13 sessions (next series begins Tuesday, Sept. 3, 2013 at 6:30pm)

CANCER CARE SUPPORT GROUP 13 sessions (next series begins Tuesday, Sept. 3, 2013 at 6:30pm)

SINGLE & PARENTING 13 sessions (next series begins Wednesday, Sept. 4, 2013 at 6:30pm)

GRIEF SHARE 13 sessions (next series begins Thursday, Sept. 5, 2013 at 10am)

LAND IN BETWEEN 7 sessions (next series begins Thursday, Sept. 5, 2013 at 6:30pm)

(Childcare for 5yrs. and under is available by reservation,

but there are no Thursday groups for children & teens.)

Child's Name Age Birthday

Will you need Childcare? YES NO

(18mos - 5 yrs.)

Will your child be attending:
DC4K - Divorce Care for kids (5 - 12 yrs.)	YES	NO
Miles Ahead (1st - 8th grade)	YES	NO
Senior High (7th - 12th grade)	YES	NO
Mission Possible Kids (1st - 6th grade)	YES	NO
Say What!? (7th - 12th grade)	YES	NO

Dinner is available at Church every Tuesday and Wednesday. St. Mark's kitchen staff puts together a delicious meal for those attending the Help Groups. Dinner starts a 5:45 pm in Fellowship Hall.

Will your child be having dinner with us? YES NO

Dinner for DC4K, Single & Parenting, and Senior High is at no charge

Will you be having dinner with us? YES NO

Dinner for Divorce Care and Single & Parenting participants is at no charge.

We ask that Grief Share and Cancer Care participants make a small donation for dinner.

Questions? Comments? Contact Frances Gonzalez at CCM@loveroad.org or by phone at 915 481-4444 ext. 287

St. Mark's United Methodist Church, 5005 Love Rd., El Paso, Texas 79922

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