House Church Registration Form

Please fill out this form and click submit.

Name

*

Email

*

This address will receive a confirmation email

Phone

*

What area of the city do you live in? This will help us find a group that's nearby.

*

What day(s) of the week work best for you to meet?

*

Please select all that apply.

Monday Tuesday Wednesday Thursday Friday Weekend

What time of day works best for you to meet?

*

Please select one option.

Morning Afternoon Evening

Please tell us your age group:

*

Please select one option.

20s 30s 40s 50s 60s +

Do you prefer to meet with others in your age group?

*

Please select one option.

Yes Not necessarily

Are you interested in groups that offer childcare?

*

Please select one option.

Yes No

Are you willing to host a house church in your home?

*

Please select one option.

Yes No

Are you interested in leading a house church (training provided)?

*

Please select one option.

Yes No Option

Share any other information you would like us to have:

*

Description

Please fill out this form and click submit.

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