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I Want to Join a Small Group
Your name
*
Last name
Email address
*
Phone number
Phone type
Mobile
Home
Work
Other
Spouse
Marital Status
*
Select…
Single
Married
Other
Type of group requested (pick up to 3 max)
*
mixed adult
women only
women only ( ages 55+)
young adults (ages 18-24)
young professionals ( ages 25-35 ish)
What day of the week could you meet? ( check all that apply)
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What time of day works best for you to meet?
*
Early Morning ( before work)
Morning
Afternoon
Evening
No Preference
What mode of meeting do you prefer?
*
In person
Online
Would you be willing to lead a group?
*
Yes
Co-lead
No
Comments:
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