Covenant Group Registration

Name *

First

Last

Address

Address Line 1

City

State

Zip Code

Email *

Phone

Preferred time and method for us to contact you:

Information about you (check all that apply)

Preferred Meeting Time (select up to 3)

Preferred Format (check all that apply)

Other Information (check all that apply)

Other information

List below the name of any individual you need to be matched with in your covenant group

This could be someone you need to rely on for transportation or car-pooling. That person must also be registered.

I would be interested in learning more about being a covenant group facilitator

First Unitarian Universalist Church