Cell Group Sign-Up
Full Name
*
First Name
Last Name
Gender
*
Male
Female
E-mail
*
Phone Number
*
Hometown:
City - State
Are you a newcomer?
*
Yes
No
Are you new to Christianity?
Yes
No
Have you attended church before?
Please Select
Never
Less than a year
1-2 years
2+ years
What churches?
Are you a King's Covenant Member?
*
Yes
No
Have you taken your vows?
Yes
No
Were you in a cell group during the past academic year?
Yes
No - I am new to cell group
Whose cell group were you in?
Name of CGL(s)
Are you a student?
*
Yes, Rutgers
Yes, Princeton
Yes, Other
No
Where do you attend school?
Name of School
Address/Dorm Address
Please Select
Address
Dorm Hall
Year in School
Please Select
Freshman
Sophomore
Junior
Senior
Senior+
Graduate Level
Dorm Hall
Home address if not on campus.
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you have a car on campus?
Yes
No
Are you married?
*
Yes
No
Spouse & Children Information
(if applicable)
Spouse's Full Name
Spouse's E-mail
Please also list name(s) and age(s) of your child(ren), if applicable.
Additional Comments
Submit
Should be Empty: