Small Group Application 2019

Small Group Application February 2019

Thank you for choosing to become part of a small group in 2019. By filling in this form, we hope to understand your preferences. Every attempt will be made to accommodate your choices, but this is always subject to availability. We have new, mixed adult groups in 2019, and vacancies in other, already existing, groups. Groups operate in a variety of different locations, on different days of the week and generally, either on a weekly or fortnightly basis.
Full Name(*)
Please type your full name.

Phone contact:(*)
Number must contact 10 digits for a mobile or 8 for a land line. Do not use any spaces or special characters. E.g. 0400000000 or 54493033

E-mail(*)
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Preferred location(*)

Please specify your preferred location

Day Preference - please indicate your top 3 choices(*)

Group Type Preference(*)

Please specify your preferred group type

If you are looking to enter a group with a friend or partner, enter their name here.
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I am not a robot(*)
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