Life Group Sign Up
Participant 1 Name
*
First Name
Last Name
Participant 2 Name
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Will you be bringing kids with you?
*
Yes
No
Life Group Preference: 1st Choice
*
Please Select
Evansville, Fridays at 6:30, Host: Harms
Edgerton, Tuesdays at 6, Host: Teals
Janesville, Thursdays at 6, Host: Choates
I can't attend any of these options but still would like to be a part of a Life Group
Life Group Preference: 2nd Choice
Please Select
Evansville, Fridays at 6:30, Host: Harms
Edgerton, Tuesdays at 5:30, Host: Hatajs
Edgerton, Tuesdays at 5:30, Host: Caspers
Janesville, Thursdays at 6, Host: Choates
I can't attend any of these options but still would like to be a part of a Life Group
Submit
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