Social Club Interest Form
Welcome to Greater Hope. We would love to invite you to drop in to social club anytime. There is no commitment, but we would like to learn a little about you in case you decide to drop by. Please fill out the  information below so we can get to know you. You will receive a welcome email with more details.

If you have any questions, please contact info@greaterhopecounseling.com or call 336-494-8856.  

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Email *
First and Last Name *
Date of Birth *
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DD
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What do you like to do for fun? 
Do you have any specific hobbies or interest you enjoy  talking about with others? (Movies, video games, art, music, etc)
Do you have any food allergies?
A copy of your responses will be emailed to the address you provided.
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