Life Group Registration Form

Spring 2012 Life Group Registration

Leader's Full Name (*)	Please provide the Leader's Full Name.
Leader's Phone Number (*)	Please include the Leader's phone number.
Leader's Email (*)	Please complete the leader's email address.
Co-Leader's Full Name	Please provide the Co-Leader's Full Name.
Co-Leader's Phone Number	Please include the Co-Leader's phone number.
Co-Leader's Email	Please complete the Co-Leader's email address.
Life Group Name (*)	Please include the name of your Life Group.
Life Group Description (*)	Include a description of your Life Group.
StartDate (*)	Include the start date of your Life Group.
Meeting Day (*)	Select the day of the week that your Life Group meets.
Meeting Frequency (*)	Select Meeting Frequency
Start Time (include AM or PM) (*)	Include the meeting start time.
End Time (include AM or PM) (*)	Include the meeting end time.
Location	Grace Church (I will contact the Church Office to get an assigned room)Private Home (I am providing the address below) Select Location
Location Details	Please include the full address, with ZIP code
Childcare Provided? (*)	Yes No Maybe, will discuss at first meeting Is Childcare provided?
Cost or Requirements, if any	Is there a cost?
Life Group Topic (select all that apply) (*)	Select a topic.	To select more than one item, hold down the "Ctrl" key when selecting multiple items.
Comments	Please provide any other information, as needed, here.