LifeGroup Sign Up

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If signing up a couple, please fill in both names and e-mail addresses.

Name

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Email

*

Name

Email

*

This address will receive a confirmation email

Address

*

Home Phone

*

Cell Phone

*

The Best Day for Me to Meet:

*

Please select all that apply.

Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Any Day

The Best Time for Me to Meet:

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Please select all that apply.

Morning Afternoon Evening

Type of Group I Would Like to Participate In:

*

Please select all that apply.

Any Group Couples Young Adults Singles Women's Men's Mixed Seniors

Age:

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Please select all that apply.

18-30 30-40 40-50 50-60 60+

I Would Like To...

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Lead a Group Host a Group Host if Needed

Comments & Questions

Contact Pastor Dave Wicks for further questions: Email: dave@hillcrestmj.com Text: 306-630-0056

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