Information

Please fill in your information (we will not share with anyone else):

* 1. Address

* 2. Please give us the name of others in your family that will be attending City Group and include the ages of the children.

* 3. What day of the week best fits your schedule to attend City Group. All effort will be made to accommodate your 1st or 2nd choice.

  #1 CHOICE #2 CHOICE #3 CHOICE
SUNDAY
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY

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