CONNECTgroup Application

Back

Name

Date

Home Address

Primary Phone

Email

Are you a member of CLC

Yes
No

Category

Food
Health & Fitness
Men
Family
Recreation
Women
Other

Title

Clearly describe your Connect Group’s activity (This will be published so be as thorough and descriptive as possible)

Who is your target audience?

How often will the Connect Group be held?

Weekly
Bi-monthly

If Bi-monthly:

1st & 3nd Weeks
2nd & 4th Weeks

Connect Group Day(s) & Time (Please be as specific as possible)

Connect Group Location (Name & address if applicable)

Requirements (if applicable)