Small Group Sign-up
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Full Name(s) *
Phone Number... *
where you are best reached.
Email Address *
where you are best reached.
Host Home Address:
Where will you be meeting?
I am interested in... (or already) *
check all that apply
Required
What day of the week and what time will your group meet?
Example: Monday @ 6:30pm
Have you talked to anyone about being in your group?  List names:
If you already have a group, please list names of who is in your group:
Comments/Questions
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