First Name
Last Name
Email
Phone Number
ZIP Code (This will help us find a group that's nearby)
How many minutes are you willing to drive?
5-10
10-20
20-30
Over 30
Which days are you available? (Please mark all that apply)
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Please select what is important to you in a group (you may select more than one):
Location
Similar age and stage of life
Multi-generational
No preference
Interested in being a Group Facilitator? (Facilitator responsibilities: to guide group, facilitate group time, communicate logistics)
Yes, I'm interested!
Interested in hosting your group? (Host responsibilities: to provide a welcoming environment for 12-16 people, and organize food/drinks as needed)
Yes, I'm interested!
Is there anyone you would prefer to be in a group with if possible?
Anything else you would like to share?
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