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Sign up for a Small Group

Interested in joining a group? Want more information? Please take a moment to fill out this form and we will get back in touch with you shortly to discuss the best group fit for you.


Name:         Birthdate: 19


Marital Status:
single
engaged            wedding date:
married               anniversary:
divorced
widowed

Spouse's Name (if applicable):    Birthdate:19


Street Address:     City:
Zip:
Phone:
E-mail:


What type of group would you like?
singles
married couples
college:
        
fresh.       soph.       jr.       sr.       
        college campus:


What day(s) of the week do you prefer to meet?
sun.     mon.        tues.         wed.         thurs.         flexible


Do you have children?     yes     no    how many?
        Ages:    preschool    elementary    middle    high    college    empty nest



Do you have comments? Questions? Take a moment to let us know.

         


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