BBC Growth Group Sign Up
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
Province
Postal / Zip Code
Spouse's Name (if applicable)
First Name
Last Name
Age Range
*
18-30 years old
50-59 years old
30-39 years old
60-69 years old
40-49 years old
70+ years old
What is your Gender?
*
Female
Male
Are you a regular attender of Bramalea Baptist Church?
*
Yes
No
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What day(s) of the week work best for you? (check ALL that apply):
*
Monday evenings
Friday evenings
Tuesday evenings
Saturday
Wednesday evenings
Sunday
Thursday evenings
Do you require a Family Friendly Growth Group (for children 12 and under)
Yes
No
How many children do you have?
What are your children's ages?
Are you able/willing to host a group of up to 10 people in your home?
Yes
No
Do you have any mobility issues or special needs that need to be taken into consideration? Please specify:
Do you have any special needs that you would like us to be aware of?
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