Group Life - Getting Started

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First Name:

Last Name:

Birth Date:

Address:

City:

State:

Zip:

Phone:

Is it okay to send text messages to this number?:

Yes

No

Email:

Preferred Contact Method:

When is the best time for you to experience group life:

What type of groups are you interested in?:

What are some of your interests (i.e Kayaking, Bible Study, Gaming):

Are you interested in leading a group?:

Yes

No

Do you have any questions or other information you like to include: