Connect Group Participant's Registration
First Name
*
Last Name
*
Email Address
*
Mobile Number
Preferred Demographic
Mixed Adult Group
Women's
Men's
Nexus Young Adults
Nexus Youth
Families
Other
Preferred Suburb/Location
Helpful Information
The more of the following information we have, the more likely we will be able to find a group that suits you uniquely.
Gender
Male
Female
Date of Birth
What day(s) do you prefer to meet?
Is there anything else you want us to know?
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