RIVER VALLEY CHURCH: LIFE GROUP SIGN-UP FORM
Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Phone Type
*
Please Select
Mobile
Home
Work
Email
*
example@example.com
Birthdate
-
Month
-
Day
Year
Date
Marital Status
Please Select
Divorced
Married
Separated
Single
Widowed
Spouses Name
Gender
Please Select
Female
Male
Which campus do you attend
*
Please Select
Downtown
Murphy
Redwood
Rogue River
Sunny Valley
I do not attend services at RVC
Has any of your contact information changed
Yes
No
Do these changes apply to just you or your household
Only me
My household
Not applicable - No Changes
What is the best way for the Life Group leader to contact you
Home Phone
Cell Phone
Email
Text
Have you been in a Life Group before
Yes
No
LIFE GROUP DETAILS
Select your choices for your preferred Life Group meeting times
Select your first choice for the day you want to attend a Life Group
Please Select
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Second choice
Please Select
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What time of day
Please Select
Early Morning
Morning
Afternoon
Evening
What area of town
Please Select
Grants Pass North
Grants Pass South
New Hope
Redwood
Rogue River
Merlin
Sunny Valley
Other
Do you have children
Yes
No
Will you need childcare
Yes
No
What are the ages of your children
Infant
Toddler
Grade School
Mid High
High School
Any additional information you would like to provide
Submit
Should be Empty: