Life Group LEADER Registration 2024-2025

Leader Registration Form
Thank you for expressing interest in leading a Life Group with us in SSM. We could not have Life Groups without our amazing leaders!
Select your campus*
Name*

First NameLast Name
Birth Date*

MonthDayYear
Gender*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Phone Number*
Please enter a valid phone number.
**South Bay, Whittier only meets on Tuesday nights. Anaheim, Brea & Rancho only meets on Wednesday nights. Irvine North only meets on Thursday nights.**
Night Preference (Please select all days that work)*

TuesdayWednesdayThursday
Adult Shirt Size*
Adult Sweatshirt Size*
I am most encouraged when people.... (check 2)*

Verbally encourage meGive me giftsTake time to write me a noteSpend time with me (ex. getting food or coffee together)Recognize me in front of othersAsk for my helpDo nice things for me
Additional Comments
Should be Empty:

Leader Registration Form