Start a Life Group

Small Group Request

Thank you for your interest in starting a small group in the Life Church community-- whether a Life Group, Men's Group, or a Women's Life Boat! We are so excited and thankful about your passion and hunger to help build community! Please fill out this form below to help provided us with the necessary information.
Please select one:*

Life GroupWomen's Life BoatsMen's Group
Name*

First NameLast Name
E-Mail*
example@example.com
Phone Number:*
How long have you attended Life Church:
Do you have someone co-leading with you?*

YesNo
If yes, please provide their NAME and their contact email.
What is the focus of your group? (ie, marriage, worship, fun, bible study, book study [provide book info], self-care, community blessings... etc.) Please include any details you'd like us to know about.*
Please give us a brief description about yourself, and your passions. (This will be posted on the website for Life Groups, not required for Men's Groups or Life Boats.)
Where will your group be held? *
Address of House or Other Location *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How Often will your group meet?*

WeeklyBi-WeeklyOther
Day or days of the week for your group?:*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Preferred Start Date

MonthDayYear
Date
End Date (If applicable)

MonthDayYear
Date
Start Time:*

Hour Minutes

AM/PM Option
End Time*

Hour Minutes

AM/PM Option
Age range of Group Participants*

Teens- 18yrsOver 21yrs35 yrs & upOther
Will you provide Child Care at your group?

YesNoNo but children are welcomeNo - no children please
Please upload a PICTURE of yourself! These will be put on the website for Life Group. Some people know faces better then names :)

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After filling out this application, one of the ministry leaders (Life Groups, Men's or Women's ministries) will contact you about next steps for establishing your group.

If you have not heard back from us after 2 weeks, please contact ministries@lifechurchsalem.com
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Small Group Request