Small Group Discipleship Survey
Please fill out this form and click submit.
Complete this form and Pastor Bev or another leader will contact you to help connect you with a small group.
Note: Membership at Living Lord is not required.
Name
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Email
*
This address will receive a confirmation email
Phone
*
Is it okay to text you?
Please select one option.
Yes
No
Age
Do you prefer to meet (check all that apply):
Please select all that apply.
At Living Lord
At a restaurant or like place
In my home or someone else's home
Online via Zoom
What times of the day are you looking to meet?
*
Please select all that apply.
Morning
Afternoon
Evening
Is there another adult you would like to be assigned with you, such as a spouse, friend or significant other?
If you have young children, do you:
Please select all that apply.
Not need childcare coverage
Prefer to be in a family-oriented small group in a home environment
Prefer to meet at church where childcare would be provided for the group
Would you like to be part of a small group specifically designated for one of the following (check all that apply)
*
Please select all that apply.
Teens
Young Adults
Couples
Couples with children
GenX/Empty nesters
People who are divorced
People who are widowed
Bible-study forward
Men only
Women only
Moms
Dads
Other
Are you interested in serving as a group leader?
Please select all that apply.
Yes
No
Is there is anything else you would like us to know?
Submit
Description
Please fill out this form and click submit.
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