Fall 2026 LifeGroup Registration
Please fill out this form and click Submit.
Leader Information
Name (First Last)
*
Email
*
Phone xxx-xxx-xxxx for listing in LifeGroup booklet
*
If multiple leaders, co-leader name and phone
Have you attended a New Lifegroup Leader Orientation?
*
Please select one option.
Yes
No
Group Information
Name of Your Group
*
Meeting Day(s), e.g., First Mondays, Wed bi-weekly
*
Meeting Time, e.g., 7:00-8:00 pm
*
Name of Meeting Location, e.g. My Home, RLM Room)
*
Meeting Location Address, incl. room # as applicable
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Is childcare provided?
*
Please select one option.
yes
no
Description of Group (3 sentences or less for booklet)
*
Is the group gender specific? (e.g., men, women, or co-ed)
*
What ages is the group intended for? (e.g. 18+, youth, 18-25, 55+, etc.)
*
Any requirements for joining the group? (e.g., purchase workbook, bring food, etc.)
*
Leader T-Shirt Size
*
Please select one option.
N/A
Medium
Large
X-Large
2X-Large
3X-Large
Co-Leader T-Shirt Size
*
Please select one option.
N/A
Medium
Large
X-Large
2X-Large
3X-Large
Submit
Description
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