Connect Group Interest

Your Name (Required)

Spouse's Name

Your Email (Required)

Address (Required)

Cell Phone (or Home Phone if No Cell Phone) (Required)

Gender
MaleFemale

Marital Status
—Please choose an option—MarriedSingleDivorcedWidowedEngagedSeparated

Campus Attending
NorthsideWestsideNeither

We have many types of groups at Academy Christian Church. Please tell us a little more about you and what you're looking for in a group.

What type of group are you looking for? (Required)
A group for married couplesA group for menA group for womenA group for singlesI'm not sure

Would you like a group (Required):
that is close to homeanywhere - I don't mind driving for the best fitting group

I'd like a group that meets on (Required):
SundayMondayTuesdayWednesdayThursdayFridaySaturdayIt doesn't matter

What age group make up would you prefer? (Required)
20's-30's40's50's60'sSeniorsIt doesn't matter, we like a diverse aged group

Children:
We need childcare available. (Cost may be involved)

Unfortunately, we may not have a group that completely matches all of your choices above. If not, which is the most important factor for you? (Required)
Type of groupLocation of groupWhen the group meetsStage of lifeChildcare available

Do you already know which group you'd like to join? If so, what is the name of the group?

Please tell us anything else you think we should know:

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