Small Faith Sharing Group Sign-up Form

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Phone Number REQUIRED

Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Days that work best for me: REQUIRED

Choose the day(s) that work best.

Sunday Monday Tuesday Wednesday Thursday Friday Saturday Please fill out this field.

Times that work best for me: REQUIRED Morning Afternoon Evening Please fill out this field.

Any further explanation you would like to give on the days and times available

Select all that apply: I am willing to host a small group. I am willing to facilitate a small group. I would like to remain in the same group as last time.

Name of Current Facilitator:

If you would like to stay in the same small group, list the name of your current facilitator.

Please enter valid data.

Ss. John and Paul Parish

1401 1st. Ave. S., Altoona, IA. 50009

Small Faith Sharing Group Sign-up Form