COVENANT GROUP REGISTRATION FORM

Please fill out the form below to help us match you with others who share your interests and availability time. Thank you for registering!

Name

Address

City

State

Zip

Home Phone

Work Phone

Cell Phone

I can offer my home as a meeting location.

I need a ride to and from meetings.

I would prefer to be in a GLBT Covenant Group.

I have the following special need(s) that may affect my participation in a group (pet or other allergies, access issues, etc.)

I am available to join a Covenant Group meeting on the following days at the following times. Click all that apply.

Special Focus: I also have interest in a Special Focus Covenant Group. (Please check no more than two.)

Men’s Group: Meeting the 4th Sunday of each month from 11 am - 1 pm.

Gay, Lesbian, Bisexual, Transgender Group for GBLT people and their allies: Group A - Meeting 2nd Sunday afternoons each month.

Gay, Lesbian, Bisexual, Transgender Group for GBLT people and their allies: Group B - Meeting the 1st Saturday morning each month.

“Circles of Change” Social Justice Focused Group: Meeting Tuesday or Thursday evening, (based on majority vote of those interested).

20's/30's Group: Meeting time To Be Determined (probably Sunday evening ).

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