Sign up for LifeLink (on January 24 at 6 p.m. at Grace)
Name:
Phone:
Address:
E-Mail Address:
What kind of group would you like to join? (Pick any of the following that apply):
Intergenerational Same phase of Life Meets close to where I live
Based on the study No preferences
What day of the week would work well for you to meet? (Check all that apply)
Sunday Tuesday Wednesday Thursday
How often would you be able to meet every month?
Only Once Every Other Week At least three times per month
How old are you? (pick one):
18-25 26-35 36-45 46-55 56-65 65+
Do you have children? If so, list names and ages below:
If you will be bringing children to LifeLink what are their names and ages and other special requests we need to know?
What kinds of topic (s) would you like to study?
