GroupLink Registration
Join us for GroupLink on Sunday, January 24th at 5:00pm.
 
1. Gender: *
Male Female
 
2. Marital Status: *
Single Married
Other, please specify
   
 
3. Name: *
 
4. Spouse's Name (if applicable):
 
5. Address: *
 
6. City: *
 
7. Zip Code: *
 
8. Best phone number to reach you: *
 
9. Email:
 
10. Are you interested in being contacted about leading a group?
Yes No
 
11. Type of group you want: *
Married (no children) Married (children)
Married (empty nest) Women (morning)
Women (evening) Men (morning)
Men (evening)
 
12. Your age group: *
Late 20's - Early 30's
Late 30's - Early 40's
Late 40's - Early 50's
Late 50's+
 
13. Day(s) of week you prefer: *
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
 
14. Are you in need of childcare for your children, ages 11& under, while attending the GroupLink event? *
Yes No
 
15. If you are in need of childcare, please give names and ages of children:



Parkview Baptist Church
, 5435 Belle Terre Pkwy, Palm Coast, FL 32137 | phone 386-445-5440 | fax 386-246-3699 | info@parkviewlife.com
Service Times: Saturday 6:00pm*, Sunday 9:30am, 11:00am.    *Deaf interpretation available

 

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