We would love to connect you into Encompass Young Adults (EYA)! Please fill in the form below, so we can get you connected to a Life Group!

 
First Name *

 
Surname *

 
Age Bracket *


 
Mobile number? *

 
Please tick the box *


 
Nights you are free mid-week (if interested in a life group e.g. Mon, Tues, Fri)?

 
What Suburb do you live in?

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