2025 - 2026 Groups Registration - new members

Phone Number

Address *

What is your primary campus? *

Moncton

Shediac

Miramichi

Gender *

Day of the week *

Please choose the day or days of the week you would prefer to attend a Small Group. If possible, choose more than one day.

Sunday

Monday

Tuesday

Wednesday

Thursday

Marital Status *

Single

Engaged or Dating

Married

Single Parent

Your Age Group *

18 - 29

30 - 40

41 - 55

56 - 65

65+

Other

What type of group would you prefer? *

Womens

Mens

Mixed - In Person

Young Adults

Couples

My spouse .. *

Will be attending with me

I will be attending alone

If your spouse is attending with you, what is his/her name?

Are you interested in leading a Small Group this year? *

Yes

No

Comments or concerns