Name* First Last Email* Age*30-3940-4950+Note: for ages 18-29 please visit this page.Campus You Attend*Rockford CampusNorthview CampusEnsley CampusOnline OnlyI Am NewGroup Interest*Select a Group InterestRockford – Couples (30 to 39 Year Olds)Rockford – Couples (40 to 49 Year Olds)Rockford – Couples (50+ Year Olds)Rockford – Mixed (40 to 49 Year Olds)Rockford – Mixed (50+ Year Olds)Northview – Couples (50+ Year Olds)Ensley – Couples (30 to 39 Year Olds)Ensley – Couples (50+ Year Olds)What days of the week can you attend a group?* Monday Tuesday Wednesday Thursday Friday Saturday Sunday HiddenDo you prefer to join a new group or an existing group?*I don't have a preferenceNew groupExisting GroupHow would you like to meet?*In personVirtuallyI don't have a preferenceHiddenAre you willing to host a group?*YesNoHiddenAre you willing to facilitate a group?*YesNoAdditional informationSpouses name, and/or anything else you would like us to know.
