Family Group Open Enrollment 2019
Please sign up by September 8th, 2019.
First Preference of Family Group *
We will try our best to accommodate your choice!
Second Preference of Family Group
Full Name *
Your answer
Spouse's Name
Indicate name of spouse if signing up for Family & Children's Group
Your answer
Email *
Your answer
Spouse's Email
Indicate email of spouse if signing up for Family & Children's Group
Your answer
Phone Number *
(Just numbers, no dashes or parentheses please)
Your answer
Address
(To help with location)
Your answer
Number of Children
(To help with family group size)
Your answer
Could you consider hosting family group from time to time on a rotational basis?
Any Comments, Questions, or Concerns?
Your answer
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