Hope@Home™ Groups Registration

Name(Required)

First Last

Email(Required)

Mobile Phone Number(Required)

By providing your phone number, you agree to receive text message reminders and updates from Inheritance of Hope. Message and data rates may apply. Reply STOP to unsubscribe at any time.

Which applies to you?(Required)

Group Choice(Required)

How did you hear about Hope@Home Groups?(Required)

Book Choice(s)(Required)

A Shepherd Looks at Psalm 23

The Widow’s Truth

Select all that apply for this registrant:

This information helps us accurately distinguish individuals.

is a twin (shares a birthdate, including year, with a household member)

has the same first and last name as another household member

Would you like to register anyone else from your household for a Hope@Home™ Group?(Required)

Yes

Number of Additional Family Members(Required)

Please enter a number from 1 to 10.

10 max

1st Additional Registrant

Name(Required)

First Name Last Name

Which applies to them?(Required)

Select all that apply for this registrant:

This information helps us accurately distinguish individuals.

is a twin (shares a birthdate, including year, with a household member)

has the same first and last name as another household member

Where would you like group information and reminders to be sent?(Required)

My Email/Phone

Their Email/Phone

Their Email

Their Phone

2nd Additional Registrant

Name(Required)

First Name Last Name

Which applies to them?(Required)

Select all that apply for this registrant:

This information helps us accurately distinguish individuals.

is a twin (shares a birthdate, including year, with a household member)

has the same first and last name as another household member

Where would you like group information and reminders to be sent?(Required)

My Email/Phone

Their Email/Phone

Their Email

Their Phone

3rd Additional Registrant

Name(Required)

First Name Last Name

Which applies to them?(Required)

Select all that apply for this registrant:

This information helps us accurately distinguish individuals.

is a twin (shares a birthdate, including year, with a household member)

has the same first and last name as another household member

Where would you like group information and reminders to be sent?(Required)

My Email/Phone

Their Email/Phone

Their Email

Their Phone

4th Additional Registrant

Name(Required)

First Name Last Name

Which applies to them?(Required)

Select all that apply for this registrant:

This information helps us accurately distinguish individuals.

is a twin (shares a birthdate, including year, with a household member)

has the same first and last name as another household member

Where would you like group information and reminders to be sent?(Required)

My Email/Phone

Their Email/Phone

Their Email

Their Phone

5th Additional Registrant

Name(Required)

First Name Last Name

Which applies to them?(Required)

Select all that apply for this registrant:

This information helps us accurately distinguish individuals.

is a twin (shares a birthdate, including year, with a household member)

has the same first and last name as another household member

Where would you like group information and reminders to be sent?(Required)

My Email/Phone

Their Email/Phone

Their Email

Their Phone

6th Additional Registrant

Name(Required)

First Name Last Name

Which applies to them?(Required)

Select all that apply for this registrant:

This information helps us accurately distinguish individuals.

is a twin (shares a birthdate, including year, with a household member)

has the same first and last name as another household member

Where would you like group information and reminders to be sent?(Required)

My Email/Phone

Their Email/Phone

Their Email

Their Phone

7th Additional Registrant

Name(Required)

First Name Last Name

Which applies to them?(Required)

Select all that apply for this registrant:

This information helps us accurately distinguish individuals.

is a twin (shares a birthdate, including year, with a household member)

has the same first and last name as another household member

Where would you like group information and reminders to be sent?(Required)

My Email/Phone

Their Email/Phone

Their Email

Their Phone

8th Additional Registrant

Name(Required)

First Name Last Name

Which applies to them?(Required)

Select all that apply for this registrant:

This information helps us accurately distinguish individuals.

is a twin (shares a birthdate, including year, with a household member)

has the same first and last name as another household member

Where would you like group information and reminders to be sent?(Required)

My Email/Phone

Their Email/Phone

Their Email

Their Phone

9th Additional Registrant

Name(Required)

First Name Last Name

Which applies to them?(Required)

Select all that apply for this registrant:

This information helps us accurately distinguish individuals.

is a twin (shares a birthdate, including year, with a household member)

has the same first and last name as another household member

Where would you like group information and reminders to be sent?(Required)

My Email/Phone

Their Email/Phone

Their Email

Their Phone

10th Additional Registrant

Name(Required)

First Name Last Name

Which applies to them?(Required)

Select all that apply for this registrant:

This information helps us accurately distinguish individuals.

is a twin (shares a birthdate, including year, with a household member)

has the same first and last name as another household member

Where would you like group information and reminders to be sent?(Required)

My Email/Phone

Their Email/Phone

Their Email

Their Phone

CAPTCHA

Hope@Home™ Groups Registration

1314 Chattahoochee Ave NW, Suite K2, Atlanta, GA 30318

914.213.8435

[email protected]

EIN: 75-3243566

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