Presented by: MARCELLINO D’AMBROSIO, JEFF CAVINS, and EDWARD SRI
10 WEEK VIDEO STUDY PROGRAM STARTING OCTOBER 5 – DECEMBER 20,
2020
NAME: _____________________________________________________
ADDRESS: __________________________________________________
____________________________________________________________
EMAIL: _____________________________________________________
PHONE (H): _________________________________________________
(C): __________________________________________________

CHECK WHAT SESSION:
(SUBJECT TO CHANGE DEPENDING ON HOW MANY SIGNS UP AND AVAILABILITY
OF FACILITATORS)
_____ every MONDAY 7:00-9:00 PM
_____every TUESDAY 9:00-11:00 AM
_____every THURSDAY 9:00-11:00 AM
_____every SUNDAY 12:00-2:00 PM

CHECK PAYABLE TO: ST. ANNE CATHOLIC CHURCH $25.00
------------------------FOR OFFICIAL USE ONLY-------------------------------------------------------
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DATE PAID: ______________________CHECK#__________CASH__________