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Name:
Phone:
Email:
Type of Group I Am Interested In:
. . . . . . . . . . . . . . . . . .
Singles
Couples
Mens
Womens
Mix
Preference for Location of the Group:
Preferred Day of Week:
. . . . . . . . . . . . . . . . . .
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred Time
. . . . . . . . . . . . . .
Morning
Lunch
Evening
Age Group:
. . . . . . . . . . . . . . . . . .
20-35 years
30-45 years
40-55 years
50+ years
Age not important
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© 2007 SeaCoast Grace Church
5100 Cerritos Ave. Cypress, CA 90630
714.761.5100