SMALL Group Interest Form Name * First Name Last Name Email Address * Phone Number * Please mark the following as appropriate: * I have not attended a small group before and would like to join a group this fall. I will be returning to the group I attended last year. I attended a group previously but would like to be placed in a different group for the upcoming year. I am not ready to commit to a life group, but would like more information. I am interested in a: Women's group Men's group Co-ed group My availability Mornings Lunch hour Evening Day of the week Sunday Monday Tuesday Wednesday Thursday Friday Will you need childcare? * Yes No Children's ages Comments: Thank you!