WednesdayNightGroups

The Chosen 2

Wednesday night Groups

* Indicates required field

Name *

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Last

Email *

Phone Number *

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I will be attending starting Wednesday, October 4 I will NOT be eating but might have a drink Please feed me a $5 Combo (select meal below *cash or CC accepted Wed. nights) #1 Combo (2 hot dogs, chips, 2 cookies, soda, energy drink or water) #2 Combo (2 large slices of U.S. Pizza, 2 Cookies, soda, energy drink or water

Will you need childcare? *

Yes (if yes, please list ages below) No

Kids ages *

Would you be willing to facilitate a group if we need you? *

Yes No

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