Name:
Address:
City: Zip:
Telephone: Home Work :
Email address

English Spanish Teen Young Adult

Please rank your top three preferred meeting times with “1” being your first choice:

If you already have a Disciples in Mission group formed, please submit all participants’ sign-up forms together and provide the name of your group leader:

Are you interested in leading a small faith-sharing group? (Note that training, a Small Group Leader’s Guide, and Small Group Participant’s Guides will be provided.) Yes or No

Are you interested in hosting a small faith-sharing group in your home if another person leads the group? Yes or No

Family Activities

We are providing Family Activity Booklets for families with preschool, primary school, and preteen children to pray and share faith together within the family. Is your family interested in receiving and using a Family Activity Booklet? Yes or No

If yes, what are the ages of your children?