LIFE GROUP fORM

Name *

First Name

Last Name

Phone *

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We offer groups at different times throughout the week. Please check ALL of the days that you would be available to attend group. We will try to find a group that fits into your schedule! *

Monday evenings [6:00 - 7:30 p.m.]

Tuesday evenings [6:00 - 7:30 p.m.]

Wednesday evenings [6:00 - 7:30 p.m.]