Small Group Sign-up Name* First Last If you would like to include a spouse's name please use the comments section.Phone*Email* Age20s30s40s50s60+What campus do you attend?RockfordNorthviewEnsleyWhat kind of group are you interested in?You may choose more than one. Couples Men Women Coed Singles Divorce Care Grief Share What day is your first choice?MondayTuesdayWednesdayThursdayFridaySaturdayWhat day is your second choice?MondayTuesdayWednesdayThursdayFridaySaturdayWhat day is your third choice?MondayTuesdayWednesdayThursdayFridaySaturdayAre you willing to facilitate a group?NoYesAre you willing to host a group?NoYesCommentsCommentsThis field is for validation purposes and should be left unchanged.
