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Thank you for taking the time to register your Connect Group!
To make sure we have the most accurate information, please fill
out the form completely.

Leader Name (First, Last):

Leader E-mail Address:

Leader Phone Number:



Leader Mailing Address (Street, City, Zip Code):

This address will not appear in the online search--only the city you meet in.

Group Meeting Address (If different from mailing address):

Month/Year of Group Start (Approximate is fine!):

Is Your Group Open or Closed?


Type of Group:
You will have the ability to specify more details about who your group is made up of once you begin using Groups On-line. For now, if your group is not specifically for men, women, or college students, please select "Everyone Welcome".


Campus:


Day Group Meets:


Time Group Meets:

If your group has a co-leader(s), please fill out the following section.
A co-leader will have the ability to manage group details.

Co-Leader 1 Name (First, Last):

Co-Leader 1 E-mail Address:

Co-Leader 1 Phone Number:



Co-Leader 2 Name (First Last):

Co-Leader 2 E-mail Address:

Co-Leader 2 Phone Number: