Please complete the following form, indicating the Life Change small group in which you are interested.

 
Your Name
Spouse's Name
Street Address
City/State/Zip
Home Phone
Work Phone
Cell Phone
Email Address
 
Marital Status
Married Single
 
Age Group
18-24 25-34 35-44 45+
 
Preferred Meeting Days
Monday Tuesday Wednesday
Thursday Friday Saturday
 
Preferred Time of Day

(Wednesday slots are for Women's Ministry only and are only available in the morning due to Wednesday evening service.)
Morning Evening

 
Other Comments or Requests
 
Check the Life Change Small Group(s)
in which you are interested
     New Believer Ministry
     HomeBase Group