Today's date *

MM

DD

YYYY

Leaders name *

First Name

Last Name

Phone *

(###)

###

####

Have you completed Growth Track

yes

no

Have you completed membership?

Yes

No

Group start date *

MM

DD

YYYY

Group start time *

Hour

Minute

Second

AM PM

Group end date *

MM

DD

YYYY

If using a campus, have you signed the Life Group building contract? *

Yes

No

N/A

Does your group have childcare? *

Yes

No

N/A

Will you be using a curriculum, book, videos or speakers for your group? *

Yes

No

N/A

Has the above curriculum, book, video or speaker been previously approved? *

Yes

No

N/A

Is there a cost associated with your group? *

Yes

No