Group Leader Info Request Form
Please fill out all required fields and submit this form before July 16th. If you have questions, please email Pastor Dustin: dustin.wallace@firstassembly.fm
Email address *
Primary Contact for Group *
Your answer
Group Leader(s)
If more than one leader, list all names
Your answer
Preferred Email
Please list one email to contact for more information about your group. We plan to list your email on our website, if you do not want your email listed, please indicate here.
Your answer
Preferred Phone
Will not be published, for staff use only.
Your answer
Meeting Location *
Off Campus Meeting Address
If meeting away from church, please give us the address, we will not publish it without your permission. We may publish a general area like Moorhead, or West Fargo.
Your answer
Frequency *
For times other than weekly, be sure to indicate start date.
Group Meeting Day *
If Frequency is "Other" describe
Your answer
Group Meeting Start Date *
Most fall groups begin the week of September 9th
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Group Meeting End Date *
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Group Meeting Time *
For Wednesday night groups meeting at church, start time is 6:30
Time
:
Age Group / Demographic
Your answer
Small Group Subject or Material
Your answer
Describe your group in one or two sentences for the online listing. It should include the book title if you are using a book or DVD. *
Your answer
Book Title and Author if using a book
Your answer
DVD Title if using a DVD
Your answer
On Campus groups - which of the following do you require?
Check all that apply.
Table(s) and Chair(s) arrangement, set up
Describe how you would like your room set up.
Your answer
Off Campus - Have you made arrangements for childcare?
If so, please describe
Your answer
Special Notes or needs
Your answer
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