LIFE Group Sign Up

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Name:*

E-Mail Address:*

Home Address*

Best Phone #*

If childcare is needed, please enter names and ages of children

Please let us know the nights of the week you WILL NOT be able to attend a LIFE group meeting:

How many miles from your home are you willing to travel for a LIFE group meeting?
0-5
5-10
10-20
more than 20

Do you have any questions or comments about LIFE groups?

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