Please submit the following information. New and returning Covenant Group members will be placed in groups according to time/place preference and availability of co-facilitators.

Name: *

Address:

City and ZIP:

Phone: *

E-mail:

Day and time preferences

Please indicate your first, second, and third preferences for a meeting day and time.

First preference

Day: select...SundayMondayTuesdayWednesdayThursdayFriday

Time: select...MorningAfternoonEvening

Second preference

Day: select...SundayMondayTuesdayWednesdayThursdayFriday

Time: select...MorningAfternoonEvening

Third preference

Day: select...SundayMondayTuesdayWednesdayThursdayFriday

Time: select...MorningAfternoonEvening

Preferred meeting place:

Church

Private home