Small Group Sign-Up
Name:
Email:
Address:
City:
State:
Zip:
Phone:
Indicate your appropriate age group:
18-22
23-30
31-40
41-50
51-60
Over 60
Have you been in a small group before?
No
Yes
Evenings I am NOT available for a group are:
My preference for a small group is:
Note: Name, Email, and Phone Number are required fields.
Contact:
Brian Rummery
Adult Minister
Elizabeth Giger
Adult Coordinator
sundays
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Windsor Road Christian Church | 2501 W. Windsor Road | Champaign, IL 61822
p. 217.359.2122 | f. 217.359.7623 | © 2005 Windsor Road Christian Church