Community Group Interest Form
We are thrilled that you're interested in taking a step into deeper community, and we're here to help! Please give us just a bit of info about yourself and what sort of group would work best for you. We'll be in touch with some options soon. If you have specific questions, email Jillian (
About You
First name *
Your answer
Last name *
Your answer
Email *
Your answer
Group Preferences
Group make-up
"I'd prefer a group with..."
Day of the week
Check ALL days that would work for you.
Check ALL locations that would work for you.
Will you need childcare?
If so, please list their names and ages:
Your answer
How important are each of these factors?
To help us match you, let us know where these factors fall on a scale of 1 - 5
1 (Not important)
5 (Essential)
Group Make-up
Additional Info (Optional)
Please check any that apply...
What else would be helpful for us to know when matching you with a group?
Your answer
Thanks for your time!
We will be getting in touch soon to talk about some group options for you!
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