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RR Foundations Interest Form
Thank you for your interest in taking steps in the journey of racial reconciliation!

Because we want this to be a safe space in the context of a small group experience, with diversity on many levels, we may or may not be able to accommodate everyone this season but hope to offer this again in the future.
First Name *
Last Name *
Email *
Phone number *
Date of Birth: *
MM
/
DD
/
YYYY
Please specify your race/ethnicity: *
Required
Gender *
Marital Status *
How long have you been attending New Church? On average, how often do you attend? *
Why are you interested in participating in this racial reconciliation cohort experience? *
We are trying to determine whether to offer this cohort on Monday or Tuesday evenings. It is extremely important you are able to attend all 4 sessions. Please place a check mark on the Monday dates you are free. *
November 18th
December 9th
January 6th
January 27th
I am not available on Mondays
Mondays
Please place a check mark on the Tuesday dates you are free. *
November 19th
December 10th
January 7th
January 28th
I am not available on Tuesdays
Tuesdays
(Optional) Please share anything else you'd like us to know or questions that you have.
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