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Group Life Questionnaire

Interested in joining a Home Group? Fill out this brief questionnaire to help us place you in the right group!

Your name *

Last name

Email address *

Gender *

Birthdate *

Address *

Country

Country

Street address

Apt/unit/box (optional)

City

State

Postal code

Marital status *

Do you have children? *

Yes

No

Are you a Christian? *

Yes

No

Unsure

Are interested in being a Beacon Church Home Group leader? *

Yes

No

Not at this time, but maybe in the future!

Please select the nights of the week that you'd be available to attend a Home Group gathering. *

Sunday

Monday

Tuesday

Wednesday

Thursday

Additional comments

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Beacon Church
sjacobson@beaconchurchtx.com
573-747-7785

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