Life Group Sign Up Form

If you would like to join a Life Group, please complete the form below. This information will help us to place you in the right kind of group. If you have any questions during this process feel free to call the church office at (561) 395-4901. You will need to read and confirm that you understand the "Life Group Covenant" before you can submit this form.

Session: Winter 2012 (Jan 8 - Apr 8)

Name(s) (Please list separately and indicate age)

Adults
---18-25 years old26-39 years old40-55 years old56-70 years old70+ years old

---18-25 years old26-39 years old40-55 years old56-70 years old70+ years old

Children
  ---1-2 years old3-5 years old6-10 years old11-17 years old

  ---1-2 years old3-5 years old6-10 years old11-17 years old

  ---1-2 years old3-5 years old6-10 years old11-17 years old

  ---1-2 years old3-5 years old6-10 years old11-17 years old

  ---1-2 years old3-5 years old6-10 years old11-17 years old

Email

Phone

City of Residence

Availability (Please check all that apply)

 Sunday Monday Tuesday Wednesday Thursday Friday

Special Considerations?

I have read and understand the "Life Group Covenant".