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First Name:*
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Preferred Method of Contact:*
Email
Home Phone
Cell
Mail
Marital Status*
Single
Married
Divorced
Widowed
How would you describe your spiritual journey?
Seeking a relationship with Christ
Recently began a relationship with Christ
Maturing in your relationship with Christ
Is Browncroft your church home in the Rochester area?*
Yes
No
Still Deciding
Have you participated in a small group before?*
Yes
No
Do you have any experience in small group leadership roles?
Leader
Leader-in-Training
Coach
Please Select the ONE or TWO Top Groups You are Interested In
Young Married Couples (20s and 30s)
Couples (all ages)
We'd like a group where we can bring our children
Empty Nesters
Graduates and Young Professionals (20s and 30s)
Singles
Mix of Couples and Singles
Men Only
Women Only
Other
Which nights are you NOT available to meet?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Perfer to meet during the day
Where would you prefer to meet?*
Penfield
Pittsford
Henrietta
Macedon
Webster
Ontario
Greece
Irondequoit
Rochester
Doesn't matter
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© 2011 Browncroft Community Church
2530 Browncroft Blvd., Rochester, NY 14625
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(585) 586-0930