Rock Group Interest Form

Small groups are now forming!
Please take a minute to complete and submit this form to let us know your interest in getting connected with a small "Rock Groups".

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

I am interested in:

*

Please select all that apply.

Leading a Rock Group Hosting a Rock Group Joining a Rock Group

What type of Group would you prefer:

*

Please select one option.

North Midlo/Ovilla/Cedar Hill/Waxahachie South Midlo/Maypearl/Venus Central Midlo Young Couples Ladies Group Men's Group

What Days work best for you:

*

Please select one option.

Weekday Evening Weekend Evening Saturday Morning Any day/time

Will you need childcare:

*

Please select one option.

Yes No

If childcare is needed, please give us the names and ages of your kids:

Anything else we should know:

Description

Small groups are now forming!
Please take a minute to complete and submit this form to let us know your interest in getting connected with a small "Rock Groups".

Please Fix the Following

Close