Divine Mercy Alpha- January

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Welcome! We are so excited that you are interested in joining Alpha! We will start on Thursday, January 14th at 6:30pm and will continue to meet on Thursdays from 6:30-8pm. Please fill out the form below and we will be in touch soon.

Name *

Email *

Home Phone Number *

Cell Phone Number *

Age *

Teen

Young Adult

Adult

Retired

Are you comfortable using technology? *

Yes

Maybe

Have you ever used Zoom before? *

Yes

What's the best way to reach you? (select all that apply) *

Home phone

Cell phone

Text Message

Required

How did you hear about Alpha? If someone invited you, who was it? *

Do you know anyone attending whose group you would like to be in? If so, who?

If there is a better day/time for you to meet, what is it?

Any questions or concerns?

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