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
Women's Bible Study
Men's Fight Club
Encore (Ages 55+)
Communications
Students (I have a child 7th-12th grade.)
Kids Central (I have a child birth-6th grade.)
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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Add Another Person
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