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 Small Group Interest Survey 
To find a group for you that fulfills all or most of your needs, please complete the survey below:

Name:
 *
Email address:
 *
Address:
 *
Phone:
 *
Age range:
 
Children's ages:
Please check all that apply
Preschool
Grade school
Middle school
High school
College
 
Day/time available to meet in a small group:
Please check all that apply
Sunday - morning (9:30am)
Sunday - morning (11:00am)
Sunday - evening
Monday - day
Monday - evening
Tuesday - day
Tuesday - evening
Wednesday - day
Wednesday - evening
Thursday - day
Thursday - evening
Friday - day
Friday - evening
Saturday - day
Saturday - evening
 
Would you prefer to meet with:
Couples
Singles
Men
Women
* indicates a required field

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Copperfield Church l 8350 Hwy 6 North l Houston, TX 77095 l Phone: 281-856-2273
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