Via Communities Interest Form 

Thank you for letting us know you are interested in joining a
Via Community. We will use the information you provide to connect you with an available group as soon as possible.

If you have any questions, please contact Dave Morton by email at
davemorton@viachurch.org

Name *
Name
If applicable: spouses name (only if they will be attending the Via Community as well)
If applicable: spouses name (only if they will be attending the Via Community as well)
Best Phone *
Best Phone
Birthday
Birthday
Do you need a group with a child care option?
What days of the week work best for you?
How far are you willing to drive?
Are you interested in leading or hosting a group?
What are the primary factors for you when connecting to a group?