Please complete this form to sign up for your Life Group! (* denotes a required field)

First name: *

Last name: *

Address: *

City: *

State: *

ZIP: *

Phone: *

Email: *

Your age range: *

 14-19  20-29  30-39  40-49  50-59  60 +

Is your spouse participating? *

 Yes  No

Spouse's name:

Spouse's phone:

Spouse's email:

Spouse's age range:

 14-19  20-29  30-39  40-49  50-59  60 +

What is your first choice for a Life Group? *

ChooseA Closer WalkAt Jesus' Feet – FULLDeeper Connections – FULLDynamic Faith – FULLFaith & Fellowship – FULLFinancial Peace University – FULLGrief ShareGrowing In Grace – FULLGrowing Young FamiliesIn His Image – FULLKIDsideKnitted HeartsLive to ServeLois LadiesMade to CraveMarriage in the Middle – FULLMen Seeking GodMom's Play TimeMom's Prayer GroupNuggets Book ClubOne Accord – FULLParenting God's Way – FULLPraying Parents – FULLRedefinedRetired for God – FULLRevealed Through Creation – FULLRun FreeShiftSocial Activities – FULLThe BridgeThe Great AdventureUpon This Rock – FULLWomen in the WordWorking Man's JesusYoung Marrieds – FULL

If your first choice is not available, what is your second choice for a Life Group? *

ChooseA Closer WalkAt Jesus' Feet – FULLDeeper Connections – FULLDynamic Faith – FULLFaith & Fellowship – FULLFinancial Peace University – FULLGrief ShareGrowing In Grace – FULLGrowing Young FamiliesIn His Image – FULLKIDsideKnitted HeartsLive to ServeLois LadiesMade to CraveMarriage in the Middle – FULLMen Seeking GodMom's Play TimeMom's Prayer GroupNuggets Book ClubOne Accord – FULLParenting God's Way – FULLPraying Parents – FULLRedefinedRetired for God – FULLRevealed Through Creation – FULLRun FreeShiftSocial Activities – FULLThe BridgeThe Great AdventureUpon This Rock – FULLWomen in the WordWorking Man's JesusYoung Marrieds – FULL