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Anchor of Life

Church

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GET CONNECTED

Register:

NURSERY
CHILDREN
STUDENT
YOUNG ADULT & ADULT
NEW MEMBER

Apply:

NURSERY VOLUNTEER
VOLUNTEER
M.A. INTERN
L.I.T. INTERN
EVENT PROPOSAL
Project Rescue Christmas Toy Give Away

Nursery Registration

Nursery Registration

To register, please take the time to fill out the information below.

Parent First Name

Parent Last Name

Parent First Name

Parent Last Name

Student First Name

Student Last Name

Student Birthday * required

Student Grade

Does your child have any special needs or disciplinary issues ? Please explain.

Email

Phone

Phone

Address

Children & Student Registration

Children & Student Registration

To register, please take the time to fill out the information below.

Parent First Name

Parent Last Name

Parent First Name

Parent Last Name

Student First Name

Student Last Name

Student Birthday

Student Grade

Students interest

Young Leadership

Arts (performing & non performing)

Email

Phone

Phone

Address

Young Adult Registration

Young Adult Registration

To register, please take the time to fill out the information below.

Parent First Name

Parent Last Name

Parent First Name

Parent Last Name

Student First Name

Student Last Name

Student Birthday * required

Student Grade

Yourr interest * Required

Leadership

Arts (performing & non performing)

Volunteering

Membership

Join the church * Required

I am a member

I have completed connect track

I have completed membership class

Email

Phone

Phone

Address

Anchor Of Life Church
2707 & 2706 17th Street CA 94806

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