Name *

First Name

Last Name

Please mark the following as appropriate: *

I have not attended a small group before and would like to join a group this fall.

I will be returning to the group I attended last year.

I attended a group previously but would like to be placed in a different group for the upcoming year.

I am not ready to commit to a life group, but would like more information.

I am interested in a:

Women's group

Men's group

Co-ed group

My availability

Mornings

Lunch hour

Evening

Day of the week

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Will you need childcare? *

Yes

No