Community Groups Participation Form

City Central Community Groups will meet in designated homes one Wednesday a month from 6:00-7:30pm. The following are the Wednesday nights for this Winter and Spring: January 18^th, February 15^th, March 14^th, April 11th and May 9th. Community Groups will be replacing our normal intercession times planned for these nights.
These are nights that we encourage you to bring the entire family to. They will be geared to engage all ages. More details will follow in the coming weeks.

* First Name

* Last Name

Street Address

Address Line 2

City

State

Zip Code

Phone Number

* Email Address

* Do you have children?

Yes

No

If yes, please list names and ages.

Would you be interested in hosting a Community Group?

Yes

No

Comments:

* Indicates Response Required