MIX Group Registration Form - The Mix Church

Become a MIX Group Leader by completing and submitting the form below to register your group for the Fall 2021 semester (9/5-12/04)!

Full Name*
First and Last Name
Email*
Mobile Number*
Select a Group Type - Sermon-Based or Special Interest:*
Used to select a group type
If you selected Special Interest, provide a group name and description:
Select a Target Audience:*
Used to select the desired audience
Primarily Meeting In-person or Virtually:*
Select how you intend to meet primarily
- In-person
- Virtually
Select the day your group will meet on weekly:*
MIX Groups meet on the same day once a week for 13-weeks
Select the start time for your weekly meetings:*
MIX Groups meet weekly for 1.5 hours

: HH

MM
If you selected In-person, provide the meeting address:
If you desire to meet at THE MIX, enter our address (1725 E. Baltimore Street, Baltimore, MD 21231).

Street Address Address Line 2 City State ZIP Code
Name
This field is for validation purposes and should be left unchanged.