Small Groups Form

Name

First Name

Last Name

Texting phone number

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Small group selection

Which small group would you like to sign up for?

Additional Group

Select the other groups you would like to sign up for

8:30 AM Wed Morning Women's Circle

5:15 PM Prayer Group

Which groups will you need childcare for?

Let us know if you will need childcare for the Wednesday morning or Wednesday evening groups.

(If applicable) List names and ages of children who will need childcare

Please include allergies or special needs information

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