Join a Life Group

First Name *

Last Name *

Home Suburb *

Phone Number

Email Address *

Gender

Date of Birth

School

School Grade

Emergency Contact Name

Emergency Contact Phone Number

Which of the following options best represents your experience with Christianity?

When are you available to attend a Life Group meeting during an average week. *

Is there anyone that, if possible, you would like to be in a group with?

Tip: Unfortunately we cannot promise we can get everyone you'd like in a group with you but we'll do our best.

Would be interested to host a Life Group at your house? (Checking yes is an initial indication only, not a concrete commitment.)

Yes

Anything else you'd like to let us know?