St. Clement of Rome Youth Ministry Small Group Sign-Ups
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Email *
First Name *
Last Name *
Student cell phone number *
First and Last name of parent(s) or guardian(s) *
Parent/guardian email address *
Parent/guardian cell phone number *
Age and grade in school *
What school do you currently attend? *
What are you looking for in a small group experience? (Check the top three MOST important factors for you. This will help us to make your group meaningful for you!) *
Please choose the top 3 best times for you to meet in a small group setting. (Please only choose a maximum of 3). *
Do you have friends who are also signing up, who you would like to be in a group with? If so, list their names here.
Any other questions, comments, or suggestions?
A copy of your responses will be emailed to the address you provided.
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