MOSAIC Registration – Fall Series MOSAIC REGISTRATION FORM 2017-2018 MOSAIC REGISTRATION FORM 2017-2018 SIGNING UP FOR OUR SMALL FAITH SHARING GROUPS Contact Information General registration information First Name * Last Name * Email Address Contact Phone Number MOSAIC Series Registration Please select the Fall series that works best for you. FALL SERIES - September 24 to November 7 * Sunday afternoons - 1:00 to 2:30 PM Monday nights - 7:00 to 8:30 PM Tuesday mornings - 10:00 to 11:30 AM I am part of another group I would like to register for another day/time in the week The fall series is 6 weeks not including Thanksgiving week What group are you with ? * Please let us know the name and contact of your MOSAIC leader What other days and times are you available to attend a MOSAIC group ? * Monday mornings Tuesday evenings Wednesday mornings Wednesday evenings Thursday mornings Thursday evenings reCAPTCHA If you are human, leave this field blank. Submit