Alive & Well · JG: New 2405 Journey Group Waiting List

Name *

First Name

Last Name

Email *

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Address *

Address Line 1

Address Line 2

City

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I am interested in *

Four Week Discover Journey Group

Level 1 Journey Group

I've completed Level 1 and am interested in a Level 2 Journey Group

My Level 1 Journey Group Leaders was: (Name of leader)

Preferred Season to Begin a Journey Group *

Check any that apply.

Fall '24

Winter '25

Spring '25

Fall '25

1st Choice

First Preference Meeting Day of the Week

First Preference Time of Day (Central Time)

Second Preference Meeting Day of the Week

Second Preference Time of Day (Central Time)

Third Preference Day of the Week

Third Preference Time of Day (Central Time)

How did you learn about Journey Groups?

Additional info (Specifics as to days and times)