Name *

First Name

Last Name

Phone *

(###)

###

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Address *

Address will be used to keep groups close geographically

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Meeting Times *

Choose the meeting time(s) that work for you!

Sun 9am (in person before church)

WED 7:30pm (ZOOM)

THURS 7:30pm (ZOOM)

SAT 10:30am (ZOOM)