Registro

Christ Community Church – Sandusky, OH

Fecha de inicio:

Ongoing – 2nd & 4th Tuesdays of the month @ 1:00 p.m.

Facilitador:

Deb Nimrichter, Facilitator; Karen Billman Co-facilitator

Modalidad:

En persona (Presencial)

Location:

For directions please call: # 419-502- 6441 If no answer, leave message.

Idioma:

Inglés

Espacios disponibles:

Nombre*

Ingrese su nombre

Apellido*

Ingrese su apellido

Birthdate*

Correo Electrónico*

Phone Number*

Tipo de línea*

Móvil

Fijo

Dirección de Residencia*

Calle, Línea 1 Línea 2 Ciudad Estado / Provincia / Región ZIP / Postal Code País

How long were you married?*

How long have you been a widow?*

Husband's first name and date of death*

Idioma preferido*

Inglés

Español

Other

Preferred Method of Communication*

Mensaje de Texto

Llamada Telefónica

Facebook Messenger

What activities do you enjoy doing?*

Activities, hobbies, etc.

What are your expectations of this group?*

What does your immediate family look like?

Children, grandchildren, siblings, etc.

How did you hear about this group?*

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