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Lent 2022 - Church@Home Friends Encountering Christ
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* Indicates required question
Please note preference you may have when selecting a small conversation group
People my age/similar stage of life
Closest to where I live
Please include me in a group with (indicate name(s) below)
please include first and last names
Your answer
If possible, what type of small conversation group are you looking for?
Married couples
Co-ed (single or married)
Men only
Women only
Other:
Clear selection
Last Name
*
Your answer
First Names of all family members participating, separated by commas (must be 14+ years old)
*
Your answer
Your Street Address Number (e.g. 6667)
Your answer
Your Street Name (e.g. Wallings Rd.)
Your answer
Your City (North Royalton)
Your answer
Best contact number by phone
*
Your answer
Best Email address
*
Your answer
If needed, would you be willing to serve as
Host?
Facilitator?
Gender
Male
Female
Clear selection
Please indicate your age
Your answer
What time of day on Sunday is possible for you to meet (check all that apply)
Afternoon
Evening
What time of day on Monday is possible for you to meet (check all that apply)
Morning
Afternoon
Evening
What time of day on Tuesday is possible for you to meet (check all that apply)
Morning
Afternoon
Evening
What time of day on Wednesday is possible for you to meet (check all that apply)
Morning
Afternoon
Evening
What time of day on Thursday is possible for you to meet (check all that apply)
Morning
Afternoon
Evening
What time of day on Friday is possible for you to meet (check all that apply)
Morning
Afternoon
Evening
What time of day on Saturday is possible for you to meet (check all that apply)
Morning
Please check the box(s) if you are allergic to
Dogs
Cats
Other:
How can you participate in this year's Lent C@H sessions (check all that apply)
*
In person at Host home
via Zoom or Google Meeting
Phone call (audio only)
Required
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