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Headlines News Link to Home Page |
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- VBS June 23-27 - Click here for information and registration.
-50 Days Ablaze! - Click here for information or to sign up for a Small Group
-Site improvement and Steeple planning - Click here for information |
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Small Group Sign Up Form |
| General Information | |
| First name: | |
| Last name: | |
| Gender: | Male: Female |
| E-mail address: | |
| Street Address: | |
| City and State: | |
| ZIP Code: | |
| Home Phone: | |
| Alternate Phone: | |
| If married, spouse's name: | |
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To be connected with a group, please provide the following information: |
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| Preferred day of
week to meet
(select all that apply): |
Sunday
Monday Tuesday Wednesday Thursday Friday Saturday |
| What time of day
would be best for you
(check all that apply): |
Morning Afternoon Evening |
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If there is a specific group you are interested in, please list the leader's name: |
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If you will need child care during the Small group Meeting time, please list the names and ages of the children requiring care: |
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| Group Preferences | |
| What type of
group would you prefer
(check all that apply): |
Singles Women Men Mixed Adults |
| What meeting
locations would work for you
(check all that apply): |
Christ Memorial A Host Home |
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Additional Information |
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| Please indicate
your age group (select one): |
College Early 20's - 30 Early 30's - 40 Early 40's - 50 Early 50's - 60 60+ |
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For more information, contact Kristi Roegner at the church office (314) 416-8449. |
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Visits:
Updated: Tuesday March 04, 2008