Let’s Get started with Life Groups!

Name

First Name

Last Name

Phone

(###)

###

####

What Life stage are you in?

Are you a Young adult, do you have young kids, empty-nester, etc.?

When are you available during the week for Life Group?

What area of town are you in?

Do you have kids coming with you?

Yes

Additional Questions or Comments

Are you joining individually or registering you and a spouse?

Is there anyone you want to be in a Life Group with?

Life Community Church

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