Missional Communities Sign Up Form

Your Name

This address will receive a confirmation email

Phone

Address

Additional Information...

The following questions are optional but will help us in determining which group would be most suitable for you.
You can answer whatever you are comfortable answering or leave them blank if you prefer.

I am: Single Married Divorced Widowed

If married, will your spouse be attending with you? Yes No

Do you have children who will be attending with you? Yes No

If you answered "Yes" to the above question, please indicate how many children and their ages.

Anything else you would like to let us know that would help in placing you in a group? (eg. preferred location, day of the week, day time or evening? Is transportation an issue for you? etc) OR any questions you may have?

Contact information will be used by Emmanuel Orillia for communication regarding this and other events, ministries and programs. Please see our Privacy Policy for more information.

Description

After you have submitted this form indicating your interest in joining a Missional Community, Pastor Russ will contact you with more information and get you plugged into a group.

Missional Communities Sign Up Form

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