GOOD COMPANY Group - Registration

1st and 3rd Wednesday each month
12:00 - 1:00 pm
Via Zoom Conferencing or Phone

Want to connect for some company and conversation? Drop in for a chat, bring a friend, and make some new ones. Facilitated by Rozi Rice. Support provided by the Maryland Community Health Resources Commission.

Name Name First Last
Email
Phone Phone - ### - ### ####
Zip Code
Please share your age.

Please share your age. 55-59 60+
Please share your pronouns.
Pronouns are the part of speech used to refer to someone in the third person. We want to know how to respectfully refer to you.

Please share your pronouns.
Pronouns are the part of speech used to refer to someone in the third person. We want to know how to respectfully refer to you. She/her/hers He/him/his They/them/their Other Other
Do you affiliate with a particular religion?

Do you affiliate with a particular religion? Yes No Prefer not to answer
What is your religious affiliation?
How did you learn about this program?

How did you learn about this program? JCS e-newsletter JCS website Social Media Print Flyer or Poster JCS Staff Person The Associated Communications (e-news, posts, calendars) AgeWell Baltimore Other Agency of The Associated (JCC, CHAI, Myerberg Center, CHANA, etc.) Synagogue / Temple Community Professional or Organization Press/Media (Article, Ad, Calendar) Friend or Family Member Other Other