Alpha 2026 • Discover Church

First Name *

Last Name *

Phone Number *

Email Address *

Any Dietary Requirements?

Tip: We will provide a FREE dinner each week please let us know any food allergies we need to be aware of

Age

Gender

Is this your first time at Alpha? *

Yes

No

Which of the following best describes your spirituality?

Other

I heard about Alpha through

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Please list any friends you would like to be in a group with: