Small Church Community

Registration.

* Indicates required field

Name *

First

Last

Address *

City *

State *

Zip *

Best Phone Number *

Email *

Most Important to me is: *

Day and Time Group Type Location of Group

Day of Week Preference *

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Time of Day Preference *

Morning Evening

I'd like to meet: *

At St. Francis In a home No preference

Group Type Preference: Check your top 3 *

No preference Couples Couples or singles with kids Men Women Mixed Adults Singles Mixed Young Adults Mixed Seniors St. Catherine's Village

Are you interested in serving as a small church community leader or co-leader? *

Yes No

Is childcare an issue? (childcare is provided by the church on Wednesday nights). *

Yes No

If so, please list number and ages of children below.

Notes / Other Requests *

Submit

St. Francis of Assisi Catholic Church
4000 W. Tidewater Lane
Madison, MS 39110
Telephone: (601) 856-5556
Email: christlife@stfrancismadison.org

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