Registration

If you are interested in registering for any of our Life Groups, please fill out the registration form.

Life Groups Registration

First Name

Last Name

Address

City

State/Province

Zip/Postal Code

Phone

Cell Phone

Email Address

Life Group

(Select Group)

Roses Ministry (Women) Moses Ministry (Men) Teen’s Ministry Seasoned for Life Ministry (50 plus)

Preferred way to contact

Phone Email Any

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