Small Group Interest Survey

Name

This address will receive a confirmation email

Phone

Group I'm Interested In Joining Women's Group - Mondays 7:00-8:30pm (everyother week) Men's Group - Mondays 7:00-8:30pm (everyother week) Mixed Group TBD

Another Goup (include your availability)

I'd Be Interested in Leading a Group Yes No

Description

Please let us know if you'd like to join one of these existing groups of you'd be willing to start a new one.
Thanks!

Small Group Interest Survey

Description

Please Fix the Following