Join a Life Group!

Personal Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Primary Phone Number:
• * Your Age

Please let us know . . .

• Would you be willing to lead a group?

  • Yes
  • No

• If not, would you be willing to facilitate a group and send out emails?

  • Yes
  • No

• Which kind of group(s) would you be open to attending? (Check all that apply)

  • Women
  • Men
  • Couples
  • Mixed (non-couples)

• Which kind of meeting(s) would you be open to attending. (Check all that apply)

  • In person
  • Virtual
  • Hybrid

• If in person, would you like to host a group at your home?

  • Yes
  • No
• In what city/area would you prefer to meet?

• Would you prefer to meet:

  • Indoors
  • Outdoors
  • Either is fine

• Which days and times work for you? (Check ALL that apply.)

  • Mondays, 6AM-12PM
  • Mondays, 12PM-5PM
  • Mondays, 5PM-9PM
  • Tuesdays, 6AM-12PM
  • Tuesdays, 12PM-5PM
  • Tuesdays, 5PM-9PM
  • Wednesdays, 6AM-12PM
  • Wednesdays, 12PM-5PM
  • Wednesdays, 5PM-9PM
  • Thursdays, 6AM-12PM
  • Thursdays, 12PM-5PM
  • Thursdays, 5PM-9PM
  • Fridays, 6AM-12PM
  • Fridays, 12PM-5PM
  • Fridays, 5PM-9PM
  • Saturdays, 6AM-12PM
  • Saturdays, 12PM-5PM
  • Saturdays, 5PM-9PM
  • Sundays, 6AM-12PM
  • Sundays, 12PM-5PM
  • Sundays, 5PM-9PM

• If possible, with whom would you like to be in a group?
• Anything else you would like us to know?
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