Community Group Connect

Help us get to know more about you!

This information will help aid us in placing you in a Community Group that will work for you and your schedule.

*Address Line 1
Address Line 2
*City
*State/Province/Region
*Zip/Postal Code
*Gender:
*Birthday (mm/dd/yyyy):
*Marital Status:
If married, Spouse's Name:
If married, will spouse be attending with you?
If married & YES to previous question, then  Spouse's Birthday (mm/dd/yyyy)
Which day(s) of the week would NOT work for you to attend small group? (List all that apply)
We currently only have evening groups.
We seek to place you with what works for your age range and schedule.
*Will you need childcare during your Community Group meetings?
If your group meets on campus, Friendship Cove programming is provided free of charge for children who are six weeks old through 5th Grade. If you said Yes to childcare needed, please provide each child's information:
If you have said yes to childcare needed, do you agree to allow Central Christian Church to use photos, videos or statements of your child in church-created publications, media releases, information displays, websites, social media and/or other electronic media? No personal address, phone number or email address will be included.
Please answer Yes or No for each child that would be in the care of CCC Friendship Cove.
Child #1 First & Last Name:
Child #1 Gender:
Child #1 Birthday (mm/dd/yyyy):
Child #1 Allergy / Special Need:
Child #1 Photo/Media Release:
Child #2 First & Last Name:
Child #2 Gender:
Child #2 Birthday (mm/dd/yyyy):
Child #2 Allergy / Special Need:
Child #2 Photo/Media Release:
Child #3 First & Last Name:
Child #3 Gender:
Child #3 Birthday (mm/dd/yyyy):
Child #3 Allergy / Special Need:
Child #3 Photo/Media Release:
Child #4 First & Last Name:
Child #4 Gender:
Child #4 Birthday (mm/dd/yyyy):
Child #4 Allergy / Special Need:
Child #4 Photo/Media Release: