Eat & Share with your St. Paul's UCC Church Family
Please fill out this form and click submit.
Name
*
Email
*
This address will receive a confirmation email
Name of Each Person Participating in your Household
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Distance Preference
Please select one option.
I would like to be in a group of people that live near me
I don't mind driving a bit so I can get to know people beyond my neighborhood
I would like to be grouped with ______. I would like to get to know them more.
*
I would prefer an all adult group
*
Please select one option.
Yes
No
Will Children be joining your group?
*
Please select one option.
Yes
No
Submit
Description
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