GET CONNECTED > SMALL GROUPS > GROUPS FORM


Your Name

Spouse's Name (if applicable)

Email Address

Phone Number

What is the best way to reach you?

EmailPhone

2. Personal and Family Information

Age*

Under 1826-3546-55

18-2536-45Over 55

Life Stage

StudentSingleDating

MarriedDivorced/SeparatedChildren

Names & Ages of Children


3. Group Information

Preferred Meeting Day(s)

MondayWednesdayFriday

TuesdayThursdaySaturday

What kind of group are you looking for?

CouplesMen OnlyWomen OnlyOther

StudentEmpty NesterFamily (Children can come)

If you have any questions or requests please supply details below: