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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
*
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1920
Gender
*
Female
Male
Marital Status
*
Single
Engaged
Married
Widowed
Divorced
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
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
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11
12
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31
Year
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
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 Ages 18-28)
Foundations (Following Jesus Basics)
Bible Class - Book of Matthew
Foundations is a five-week group exploring the basics of following Jesus. Sundays at 11am via Zoom.
The next class begins May 2.
Bible Class - Book of Matthew: A classroom environment to dive deep into specific books of the Bible. Thursdays at 7:30pm via Zoom, begins January 14.
What type of group would you like to join?
Men's Group
Women's Group
Married Group
Parents Group
Intergenerational Group
Have you registered for a group at Fairfax before?
*
Yes
No
How did you hear about groups at Fairfax?
*
Please select:
Social Media
Google Search
Drove by Church
Friend Invited Me
Other
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
*
Please select:
Undergraduate Student
Graduate Student
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N/A
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
*
Please select:
At Home
On Campus
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Language of Group:
*
English
Español
Group Format:
*
Online
In Person
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
About
Vision & Mission
Children’s Ministry
Student Ministries
College & Young Adults
Worship
Justice Resources
Accessibility
Jobs
Next Steps
I’m New
Small Groups
Classes & Care
Baptism
Child Dedication
Local
Global
Events
Español
Watch
Watch Live
Sermons
Give
About Giving
Give Now
My Fairfax