Life Group Registration

Please complete the form below

Name

First Name

Last Name

Email

Name of Group

Day of the Week

Start and End Time

Meeting Frequency

Start Date

MM

DD

YYYY

Are Children Welcome?

Yes

No

Location Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Group Age Preference

Is Group Co-Ed?

Yes

No

Brief Description of Your Group

Have You Attended Life Group Leader Training?

Yes

No