DON’T DO LIFE ALONE.

HOST NAME *

First Name

Last Name

MOBILE NUMBER *

(###)

###

####

CO-HOST NAME

First Name

Last Name

What time will your group meet? *

Hour

Minute

Second

AM PM

Alternate time *

Hour

Minute

Second

AM PM

Where will your group meet? *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Church Locations for Group

Select rooms to be used at church for your group and/or child care if needed!

Serve Team Central

Green Room

Auditorium

DIscover Life Room

Nursery

Pre-K

Elementary

Loft

Stage of Life *

Elementary

JR. high

SR. High

Young Adult

Marriage Group

Women-only Group

Men-only Group

Adults (Men & Women)

Anyone

Childcare *

Childcare Provided

No Childcare

Child Care Provided/Reserve Room

Have you completed Discover Life? *

Yes

No

Have you served as a Life Group host in the past? *

Yes

No