Small Group Registration

• Today's Date
  DD

  /

  MM

  /

  YYYY
• Your Name*
  First Name

  Last Name
• Phone*
   
• Your Email*
   
• Do you want to join a Small Group?*
  Yes

  No

  Maybe - Need More Info
• Why do you want to join a Small Group?*
• Which nights are you available to meet?*
  Check any nights that you think you could make work with your schedule if need be.
  Monday Night

  Tuesday Night

  Wednesday Night

  Thursday Night

  Friday Night

  Saturday Night

  Intersted in Day Time Meetings
• Would you be willing to make your home available for your Small Group to meet?*
  Could be your living room or dining room, seating 5-8 people.
  Yes

  No
• How many people could you seat comfortably in your home? *
  Ignore if you checked "NO" above.
• Are you willing to be the leader of the Small Group?*
  Your purpose is to facilitate conversation, lead the group in reading, and help keep the group focused.
  Yes

  No

  Maybe - Need More Info