Help us connect you to a group

We’re so excited you’re wanting to be a part of a small group at Home Ground. 

By filling in this form we will be able to give you options of groups that you could attend. 

If you would like to ask any questions, please feel free to email cindy@homeground.org.za.

By completing and submitting the information below, you grant consent that the information is able to be used by the organizers for the purpose of connecting with you regarding Home Ground Groups and group administration. It will only be used for that purpose and kept securely.

Sign in to Google to save your progress. Learn more
Name and Surname *
Cell Number *
Email address *
You would prefer... *
Area of residence
How many kilometres are you willing to drive/ are you unable to meet in person?
Clear selection
Which day of the week are you available?
What time of the day do you prefer? 
Clear selection
Which age category do you fall into?
Clear selection
Is there anything else you would like to tell us that would help us find the right group for you?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy