Online Groups Form – Fairfax Church

Spring groups will begin meeting January 24 – register below and we'll get you connected with a group!

Personal Information*

First Name Last Name

Phone Number*

Email Address*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Date of Birth*

Gender*

Female
Male

Marital Status*

Will your spouse be joining you in this group?*

Yes
No

Spouse Information*

Spouse First Name Spouse Last Name

Spouse Phone Number*

Spouse Email Address*

Spouse Date of Birth*

Are you a parent?*

Yes
No

My kids are:*

Select all that apply.

Infant/Preschool
Kindergarten/Elementary
Middle School
High School
College
Adult

Fairfax Group Options*

Please select one

Community Group
Transit Group (Single Young Adults)

What type of group would you like to join?

Have you registered for a group at Fairfax before?*

Yes
No

How did you hear about groups at Fairfax?*

If other, please explain:*

Do you attend a church?*

I attend Fairfax Church
I attend another church
I do not attend a church

How long have you attended Fairfax?*

Which church do you currently attend?*

College Status*

What year did you graduate?*

Please enter a number from 1950 to 2020.

What year do you plan to graduate?*

Please enter a number from 2020 to 2030.

Living Situation*

Language of Group:*

English
Español

Group Format:*

Online
In Person: Masks Required

Do you have any pet allergies?*

Yes
No

Would you like to join a group that meets on:*

Weekdays
Weeknights
Weekends

Weekday Availability:*

Monday
Tuesday
Wednesday
Thursday

Weeknight Availability:*

Monday
Tuesday
Wednesday
Thursday

Weekend Availability:*

Friday PM
Saturday AM
Saturday PM
Sunday AM
Sunday PM

Join a Group

Spring groups will begin meeting January 24 – register below and we'll get you connected with a group!

ABOUT

NEXT STEPS

RESOURCES

SERVICE TIMES

Join a Group

Spring groups will begin meeting January 24 – register below and we'll get you connected with a group!

ABOUT

NEXT STEPS

RESOURCES

SERVICE TIMES

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