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Online Registration


The Women’s Ministry at Jefferson Baptist Church
would like to help you reconnect to those around you and,
most importantly, to our Heavenly Father at an event on
 August 23 

The day will include breakout sessions, music, lunch, door prizes, a panel discussion
and a time set aside for ladies to browse the Connections Corner

 


When you complete the form and click "Register", your  registration information will be sent to Cathy Smart, Women's Ministry leader.

 

Please Note: We appreciate and respect the confidentiality of this information. We will not share the information with anyone. It will be used for Making Connections registration purposes only.


Fields With * are Required


First Name *

Last Name *

Home Address *

City *

State *

Zip Code *

E-Mail Address *

Home Phone Number

Area Code

 

-

Cell Phone Number *

Area Code

 

-

   
   

 

 

 

      


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