Small Groups Registration

Name of Small Group *

Please list all of your group members below.

Our group has room for new members *

Yes

How many new members can you add?

Group Description *

Meeting Day *

Time of Day *

Regularity *

Please Select One *

In-Person

Online

Location or ZOOM Link (include name of location and address) *

Group Leader First and Last Name *

Group Leader Email Address *

First Time Group Leader?

Yes

Co-Leader First and Last Name (if you have one)

Co-Leader Email Address