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ARE YOU CURRENTLY PARTICIPATING IN A SUPPER CLUB?
Yes
No - I've been placed in a group but we have not met or we're not actively meeting
No - I haven't been placed in a group
Other
WOULD YOU LIKE TO REMAIN IN YOUR CURRENT GROUP OR TRY ANOTHER ONE?
Yes - I'd like to stay in my group
No - I'd like to try another group
I'm no longer interested in this ministry
Other
IF APPLICABLE, PLEASE LIST THE NAME(S) OF THOSE WITH WHOM YOU'D LIKE TO BE GROUPED:
WOULD YOU LIKE TO UPDATE YOUR GROUP PREFERENCES?
Yes
No
Other
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Contact Information
Name
First Name
Last Name
Age
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Spouse/Partner Information
Name
First Name
Last Name
Age
Email
example@example.com
Phone Number
Please enter a valid phone number.
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GROUP PREFERENCES
Help us know what your ideal Supper Club group looks like.
I AM INTERESTED IN THE FOLLOWING GROUP FORMATS (select all that apply)
In-Home Dinner
Restaurant Dinner
Playground Picnic
Theology on Tap
Sunday Brunch
No Preference
Other
ARE YOU COMFORTABLE HOSTING SUPPER CLUB AT YOUR HOME?
Yes
No
WOULD YOU LIKE TO BE IN AN INTERGENERATIONAL GROUP THAT INCLUDES CHILDREN?
Yes - I’m ok with a Supper Club that includes kids.
No - Adults only!
WILL YOU NEED CHILDCARE?
Yes
No
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ADDITIONAL PREFERENCES
MY GROUP MEMBERS ARE ALL AROUND THE SAME AGE
Yes
No
No Preference
MY GROUP MEMBERS LIVE IN MY NEIGHBORHOOD OR CLOSE BY
Yes
No
No Preference
MY GROUP IS MADE UP OF COUPLES ONLY
Yes
No
No Preference
MEMBERS OF MY GROUP ARE COMFORTABLE DRINKING/SERVING ALCOHOLIC BEVERAGES
Yes
No
No Preference
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NAME
First Name
Last Name
EMAIL
example@example.com
Phone Number
Please enter a valid phone number.
ADDITIONAL COMMENTS OR QUESTIONS
For more information, please contact Beth Ranoull
branoull@oursaviourjax.org (904) 268-9457
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