Yorkson Life Group Connection Form
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Have you already spoken to someone about joining their life Group?
No
Yes
If Yes, who?
What kind of Group would feel like a good fit? (e.g. Retired, Young Married, People with young kids, Men's group, Woman's group, Doesn't matter, ETC.)
Which Neighbourhood(s) would work for you? (Check all that apply)
Walnut Grove
Willoughby
Langley City/ South Langley
Fort Langley
North Surrey
Clayton Heights
Maple Ridge
Aldergrove City
North Otter/ Glen Valley
Murrayville
Other
Are you willing to host a group in your home? If so, in what neighbourhood?
When works for you to meet?
Monday Evening
Tuesday Evening
Wednesday Evening
Thursday Evening
Friday Evening
Saturday Morning
Saturday Afternoon
Saturday Evening
Sunday Afternoon
Sunday Evening
Submit
Should be Empty: