Moai Interest Form
To join a Moai group for walking, potluck, dining or purpose discussions, please complete this form and the program coordinator will contact you to discuss details and get started!
For a full list of groups to reference while completing this form, please view the Moai Group List:
www.bchd.org/docs/healthy-communities/MoaiList2018.pdf
First Name
*
Last Name
*
Email Address
*
Phone Number
*
Zip Code
Walking Moai Groups
Are you interested in participating in a Walking Moai?
*
Yes
No
Not now
Primary Interest
Monday | 4:00pm | Redondo | King Harbor Yacht
Monday | 4:00pm | Redondo | Veteran's Park
Monday | 6:00pm | Redondo | RB Main Library
Monday | 6:30pm | Redondo | Birney School
Tuesday | 7:00am | Redondo | Carnelian
Tuesday | 4:00pm | Redondo | Veteran's Park
Wednesday | 9:00am | Redondo | Ave C
Wednesday | 4:00pm | Redondo | Veteran's Park
Wednesday | 6:00pm | Redondo | RB Main Library
Thursday | 7:00am | Redondo | Carnelian
Thursday | 8:30am | Manhattan | Ardmore
Thursday | 9:00am | Redondo | Ave C
Thursday | 4:00pm | Redondo | Veteran's Park
Thursday | 5:00pm | Manhattan | American Martyrs
Thursday | 6:00pm | Redondo | Alta Vista School
Thursday | 6:30pm | Hermosa | H. Valley School
Saturday | 8:00am | Redondo | Sapphire
Multiple times interest me
None of these times work for me
Secondary Interest
Monday | 4:00pm | Redondo | King Harbor Yacht
Monday | 4:00pm | Redondo | Veteran's Park
Monday | 6:00pm | Redondo | RB Main Library
Monday | 6:30pm | Redondo | Birney School
Tuesday | 7:00am | Redondo | Carnelian
Tuesday | 4:00pm | Redondo | Veteran's Park
Wednesday | 9:00am | Redondo | Ave C
Wednesday | 4:00pm | Redondo | Veteran's Park
Wednesday | 6:00pm | Redondo | RB Main Library
Thursday | 7:00am | Redondo | Carnelian
Thursday | 8:30am | Manhattan | Ardmore
Thursday | 9:00am | Redondo | Ave C
Thursday | 4:00pm | Redondo | Veteran's Park
Thursday | 5:00pm | Manhattan | American Martyrs
Thursday | 6:00pm | Redondo | Alta Vista School
Thursday | 6:30pm | Hermosa | H. Valley School
Saturday | 8:00am | Redondo | Sapphire
Multiple times interest me
None of these times work for me
Interest in New Walking Groups with Themes
"Doggie Play Date" - dog-friendly walking and socializing
Fun Run - flexible pace with conversation as priority
"Photo Safari" - walking and photography
Comments
Potluck Moai Groups & Restaurant Dining Moai Groups
Are you interested in joining a Potluck or Restaurant Dining Moai?
*
Yes
No
Not now
Primary Interest
Second Tuesdays | Vegan Potluck | 6:30-8:30pm
Third Wednesdays | Vegetarian Potluck | 6-7:30pm
Sundays (varies) | Homemade Potluck | 5-7pm
Second Wednesdays | Restaurant Dining | 12:30pm
I'm flexible
Interested in multiple groups
None of these work for me
Secondary Interest
Second Tuesdays | Vegan Potluck | 6:30-8:30pm
Third Wednesdays | Vegetarian Potluck | 6-7:30pm
Sundays (varies) | Homemade Potluck | 5-7pm
Second Wednesdays | Restaurant Dining | 12:30pm
I'm flexible
Interested in multiple groups
None of these work for me
Comments
Purpose Discussion Moai Groups
Are you interested in joining a Purpose Moai?
*
Yes
No
Not now
Comments
Additional Notes for the Coordinator:
Thank you for your interest!
The information you are providing will be shared with the program coordinator who will assist you with group matching and introductions. Please wait until you receive confirmation before you attend a group meet up.
If you have any additional questions, contact Tiana
Rideout at tiana.rideout@bchd.org or 310-374-3426, ext. 139.
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Email address
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