Name * First Name Last Name Email * Phone * (###) ### #### Do You Have A WWCC? * (Working With Children Check) YES NO WWCC Number WWCC Expiry Date MM DD YYYY Are you wanting to host the group at your home, another location, or online? Home Another Location Online Address (if hosting at home or a known location) Address 1 Address 2 City State/Province Zip/Postal Code Country What days/times are you wanting to host? * Monday Tuesday Wednesday Thursday Friday Saturday Time * Hour Minute Second AM PM Frequency Of Hosting * Weekly Fortnightly Monthly What age group or demographic would you prefer to host? * Men Women Young Adults Youth Seniors Families Any Demographic How many people can you comfortably host in your space (if in person)? * Maximum 10* Thank you! HOST A CREW!Let’s build community together!
