Small Groups Information Form  

We are excited that you are interested in finding out more about a Small Group!

Please take a moment and let us know a little bit more about yourself by completing the following form. It will assist us in finding a Small Group that best meets your needs.

Your Name:

Spouse Name (if any)*:


 *(or significant other)

Mailing Address:
(including zip code)
Preferred Phone Number:

Email Address:

Marital Status:

Do You Have Children At Home?
Your Age:

What are you looking for in a Small Group? :

Any questions or comments:

Questions about Small Groups? E-mail Kristi Day, our Connections ministry leader, at tday0621@msn.com or, call the church office at 595.0055.

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Privacy Notice: The information collected on this form is only used for Small Groups and other related Northeast Community Church purposes.