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Event Registration
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PM Blackhawk Bible Study Registration (In-person, open to all) on Monday, September 19, 2022 @ 7:00 PM
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Price:
0.00
*
Attendee's First Name:
*
Attendee's Last Name:
*
Attendee's Email Address:
*
Attendee's Phone Number:
Country:
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
China, Hong Kong Special Administrative Region
China, Macao Special Administrative Region
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Cote d'Ivoire
Democratic People's Republic of Korea
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
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Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
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Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
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Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Republic of Korea
Republic of Moldova
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French Part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
State of Palestine
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Thailand
The former Yugoslav Republic of Macedonia
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United Republic of Tanzania
United States Minor Outlying Islands
United States Virgin Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela (Bolivarian Republic of)
Viet Nam
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Address Line 2:
City, State Zip:
AA
AE
AL
AK
AP
AS
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AR
CA
CO
CT
DE
DC
FM
FL
GA
GU
HI
ID
IL
IN
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KS
KY
LA
ME
MH
MD
MA
MI
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MS
MO
MT
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MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
VI
WA
WV
WI
WY
The registration fee for PM Blackhawk Bible Study is $20.
If you would like to pay by check or cash, please contact Evelyn at epaulsen@blackhawkchurch.org. After she receives your cash or check, she will provide a promo code so you can register online.
Questions? See our
Payment FAQs
.
**
Women ONLY groups are FULL. Email epaulsen@blackhawkchurch.org to be placed on the waitlist
**
*
PM Blackhawk Bible Study Fee (sales tax included)
Qty
Price
PM Blackhawk Bible Study (Co-Ed or Men Only)
1
20.00
Please note: This form is for PM Blackhawk Bible Study Only (Open to all). Looking for (Wednesday, Women only) AM Blackhawk Bible Study or Online (Open to all) Blackhawk Bible Study? Please return to the church calendar and select an AM Blackhawk Bible Study or Online Blackhawk Bible Study meeting:
Personal Information
*
Age Group:
-- Select --
20s
30s
40s
50s
60s
70s+
*
Gender:
-- Select --
Male
Female
*
What Blackhawk site do you normally attend?:
-- Select --
Brader Way
Downtown
Fitchburg
Online
BCM
I do not attend Blackhawk Church
If you go to another church, where do you attend?:
Have you attended Encounter (
former name of Blackhawk Bible Study
) in the past?
Select all that apply.
Yes, AM Encounter
Yes, PM Encounter
Yes, Online Encounter
No
If yes, who was your most recent leader?:
If no, is this your first Bible Study?:
-- Select --
Yes
No
*
Would you be interested in meeting online instead of in-person during the winter months (January-March)?
-- Select --
Yes
No
I'm flexible either way.
*
If there is a snow day or bad weather, are you willing to meet online for the evening?
-- Select --
Yes
No
*
Would you be interested in meeting early at 6:30-8 PM instead of 7-8:30 PM?
-- Select --
Yes
No
I'm flexible either way.
Do you require any special accommodations or materials to make it possible for you to participate?:
*
Three-Ring Binder for Curriculum:
I will bring and use my own 3-Ring Binder for curriculum
I would like a NEW 3-Ring Binder for curriculum
Small Groups (Open to all, based on availability and interest)
PM Small Groups may be women ONLY, men ONLY or mixed with both women and men. You can also indicate no preference for single sex or mixed group, in which case, we will place based on balancing group sizes.
Please note that group placement is based on availability and interest. You will be contacted if we need to offer an alternate group.
*
Group Type:
-- Select --
Women ONLY
Men ONLY
Mixed Women and Men (CoEd)
No preference
Is there one person that you would like to be in a small group with?
(We will do our best to accommodate requests, but cannot guarantee your group placement.)
First and Last Name:
Serving
Are you interested in serving with Blackhawk Bible Study? Check any boxes that sound interested and someone will contact you with more information:
Curriculum Prep:
I can help prepare curriculum materials prior to our kickoff.
Exact late August date TBD.
Greeting:
I can help greet on Monday evenings.
Check-in Kiosk Volunteer:
I am interested in being trained to help participants get checked in at the kiosks and print their nametags.
Small Group Facilitation:
I am interested in subbing as a group facilitator within my group if my group leader is absent.
Other:
Not sure about the ideas above, but I would love to be involved somehow.
Refunds
If you drop out of Blackhawk Bible Study and seek a refund, the date that you drop will affect the amount of the registration fee that you receive back.
Refunds will not be given for expenses already incurred.
Thank you for your understanding.
Confirmation Email
Please note that you will receive an email confirmation once your registration is complete. If you do not receive a confirmation, please look for incomplete fields on the form and resubmit, or contact Evelyn at epaulsen@blackhawkchurch.org.
The promo code section is to be used for partial scholarships. We never want money to prohibit participation in our programming. If you have a financial need for a scholarship, please fill out
this short form
and Veronica Hummel will get back to you regarding availability of partial scholarships. All requests are kept confidential.
Promo Code:
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Registration Total:
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