Care Group Start
*Please complete and submit this request form to start a new Care Group.
Tell Us About You
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Phone *
XXX-XXX-XXXX
Your answer
Are You A Member of New Salem? *
Tell Us About Your Group Idea
What group or groups are you interested in joining or learning more about?
Select the Group Type *
Meets On (What Day?) *
What Time Will Your Group Meet? *
Enter time as follows... 6:30 PM
Your answer
Proposed Name for Your Group *
Your answer
Describe Your Group's Focus *
Tell us in 120 characters or less :)
Your answer
That's It... Just Click The Submit Button Below :)
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