St. Peter Small Groups

Your Contact Information

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

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

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

Phone Number REQUIRED

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

Street Address 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.

Information to help us create small groups:

Martial Status REQUIRED Single Married Please fill out this field.

Age Group: REQUIRED 20s 30s and 40s 40s and 50s 60s + Please fill out this field.

Meeting Time & Location:

Meeting day: REQUIRED Weekend Weekday No preference Please fill out this field.

Preferred time of day: REQUIRED Daytime Evening No preference Please fill out this field.

Location Preference: REQUIRED Church campus Home No preference Please fill out this field.

Group Preferences:

How important is it to be grouped with others in a similar life situation as you (i.e. single / married / with children / gender/ age)? REQUIRED Important Prefer a diverse group Not important Please fill out this field.

Leadership (group lead or co-lead)

How willing would you be to coordinate the first meeting and get your group organized? REQUIRED Willing Maybe Not at all Please fill out this field.

Do you need childcare to participate? REQUIRED Yes No Please fill out this field.

Any questions, comments or concerns you would like to share?

St. Peter Small Groups

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