CUUPS Survey and Sign-up

Name:_______________________________

Address:______________________________

Phone:___________ E-Mail:______________

Current Unitarian Universalist Fellowship Member?_____

1] Are you interested in being a member or friend of our CUUP's chapter at the Unitarian Universalist Fellowship?

2] What sort of time commitment are you able to give to the group? 1ce month__ Every 6 weeks__ Every other month__

Only on Holidays {Sabbats, Equinox's, Solstice's} Other_______

3] What interests do you have; or, what would you like to get out of your CUUP's membership? _____________________

_______________________________________________

4} What do you have to offer? {ie: leadership, ideas for ritual, a place to hold gatherings]_____________________________

________________________________________________

5] Do you consider yourself a Pagan? Earth-centered Spiritualist? Witch? Druid? Curious objective observer? Seeker? Other?___________________________________________