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Small Group Registration
Name
*
Name (Spouse, if applicable)
Phone Number
*
Email
Preferred mode of communication
*
Phone
Email
Facebook
Other
Other
Children? If so list Names and ages
What type of Small Group are you looking for?
*
Men only
Women only
Mixed
Most of our small groups meet every other week on the second & fourth Sundays each month. If this meeting time is NOT feasible for your current schedule, what would be your preferred meeting day and time?
*
2nd & 4th Sundays
other
other
I would be willing to host the small group in my home.
*
Yes
No
Sometimes
Additional information:
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