Small Group Registration

Leaders First Name

Leaders Last Name

Name of Small Group

What is the age range for this small group?

Are children welcome?
Yes
No

Time of day this group meets?

Regularity
Weekly
Biweekly
Monthly

Please Select One
In person
Online

Zoom link if applicable

Each group has a maximum number of 10 members. If you would like for yours to differ from this number please put that amount here.

Name of Meeting Location

Address 1

Address 2

Country

City

State

Zip/Postal Code

If applicable...

Co-Leaders First Name

Co-Leaders Last Name

Co-Leaders Email Address

Co-Leaders Phone Number