Yes, I am interested in joining a group.
First Name
*
Last Name
*
Mailing Address
*
Mailing Address Line 2
Mailing City
*
Mailing State
*
Mailing Zip Code
*
Mobile Number
*
Email Address
*
Preferred Contact Method
*
Text
Call
Email
I am interested in joining (check all that apply)
*
Mom & Kids Monthly Meet Up
Continuing the Conversation (CTC Group)
Women's Bible Study
ENCORE (Ages 60+)
Communications
YoungNC (I have a 7th-12th grade student)
Kid Central (I have a birth-6th grade child)
Are you a North Central Sunday Attender:
*
In Person
On Line
In Person and On Line
I do not attend.
Office Use Only (Group leader, provide date and action taken):
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