UUC Covenant Group Registration Form
For new participant or transfer requests
Name: *
E-Mail Address: *
Phone Number: *
SECTION 1: Transfer - Requesting transfer from (enter the name of group or facilitator):
Requesting transfer to (enter the name of group or facilitator). If you don't know what group you'd like to transfer to, please continue to SECTION 2.
SECTION 2: New Participant - Please indicate your preferences below. We will do our best to match your selections. I prefer:
Please indicate your preference for meeting days/times:
Please indicate your location preference:
If you chose "Outside of Pinellas", please indicate your county of preference:
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