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You're Just a Few Clicks Away From a Small Group!
Our next GroupLink is Sunday, January 20, 2008, from 6:00 to 8:00 p.m. in the Student Building at Brook Hills. Provide a bit of information below and then come to GroupLink. We don't choose a Small Group for you--instead, you can connect to one at GroupLink. If you have specific questions, or would like suggestions on a Small Group, please indicate that on your form below...

Your Name (First and Last)

Gender

Address

City

Zip Code

Home Phone

Cell Phone

Email Address

Birthdate (Month, Day, Year)

/ /

Children's Name(s) and Age(s), if applicable

Best day(s) for you to meet?
Check only one or two

	Sunday
	Monday
	Tuesday
	Wednesday
	Thursday
	Friday

Best time(s) for you to meet?
Check all that apply

	Morning
	Evening

Age range?

	Any Age
	20s
	30s
	40s
	50s
	60s+

What kind of Small Group are you interested in?
Check only one

College Age. Please also select from:

	College-age men
	College-age women
	College-age co-ed

Singles. Please also select from:

	Singles co-ed
	Single men only
	Single women only

Couples. Groups made up of married and/or engaged couples.
Spouse's Name:

Mixed. Co-ed groups made up of single and married men and women.

Men. Mixed groups of single and married men.

Women. Please also select from:

	Married women only
	Mixed (married and single women)

Affinity. Groups made of of people with similar experiences or issues (more info here). Please also select from:

	Adoptive Parents Small Group
	Family Small Group
	Seeking a Family Small Group (Infertility)
	Bikers Small Group
	Celebrate Recovery Small Group
	Second Mile Small Group
	Women in the Workplace Small Group

Specific Group or Leader.
Please indicate which group/leader you prefer:

How should we contact you?

How are you connected to Brook Hills?

Is this your first time to try a Small Group?