Group Registration

Complete and submit the form below to register small group for the Outflow serving day.

Contact First Name
Contact Last Name
Contact Daytime Phone
Contact Evening Phone
Contact Email Address
How Did You Hear About This Opportunity?	Church Website Other
Please Indicate Name of Church or Other Source
# of People Serving
Names and Ages of Group Participants
Project Assignment Preference	Willing to serve where needed Prefer to request a particular project (please complete project choices below)
Project Choice 1
Project Choice 2
Project Choice 3
List Any Physical Limitations or Special Accomodations Needed

Please answer the simple math question below to submit the form.

2 + 2 =

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