FORM – GYA Care Family - Grace Fellowship Church

Name *

First

Last

Email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Date of Birth

Your Gender

What days are you available to meet? (check all that apply)

Would you like to HOST or JOIN a Care Family group *

# of people you are able to host

College you attend and/or occupation

Do you have any friends you would like to join you? List their names & your relationship to them.

Comment or Message