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Thomas Jefferson Memorial Church
Unitarian Universalist

Charlottesville, Virginia


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Convenant Group Registration Form

Name(s):

Address:

Phone(s):


 HOME
 WORK
 CELL

Email:

I can meet on:

Monday   Tuesday   Thursday   Friday  
Saturday   Sunday

I could meet:

evenings   daytime     Other - describe in "Special Needs/Comments" area below.

I would like to be part of a non-special interest Covenant Group.

Most covenant groups are made up of a random mix of congregational members. However there are some groups that are designed for special interests or participants. Please indicate if you would like to be part of a group specific to:

Families with young children
Young adults (Twenties and Thirties)
Couples only
Women only
Adults only
Parents of Teens
Multiracial Families
Lake Monticello Area Families
Bisexual, Gay, Lesbian, Transgendered

Special Needs: (such as: the same or different group as your partner, need ride, pet allergies, etc) are:
Comments: (any additional information.)


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Thomas Jefferson Memorial Church Unitarian Universalist
717 Rugby Road
Charlottesville, VA 22903 [map]
(434) 293-8179