Small Group Leader _________________________________________

Contact Numbers ___________________________________________

Venue of Small Group Meeting ______________________________

Day of Small Group Meeting

[ ] Mon [ ] Tues [ ] Wed [ ] Thurs [ ] Fri
[ ] Sat [ ] Sun [ ] Any Day

Network:
[ ] King’s Men [ ] Women of Destiny [ ] Couples
[ ] Youth Xtreme [ ] Unwind [ ] Mix Group

NAMES of Small Group Participants

1) ________________________________ 11) _________________________________
2) ________________________________ 12) _________________________________
3) ________________________________ 13) _________________________________
4) ________________________________ 14) _________________________________
5) ________________________________ 15) _________________________________
6) ________________________________ 16) _________________________________
7) ________________________________ 17) _________________________________
8) ________________________________ 18) _________________________________
9) ________________________________ 19) _________________________________
10) _______________________________ 20) _________________________________
(use this Small Group FORM to receive your materials — Booklets and DVD)
NO FORM = NO MATERIALS Policy

Small Group Leader _________________________________________

Contact Numbers ___________________________________________
Venue of Small Group Meeting ______________________________

Day of Small Group Meeting

[ ] Mon [ ] Tues [ ] Wed [ ] Thurs [ ] Fri
[ ] Sat [ ] Sun [ ] Any Day

Network:
[ ] King’s Men [ ] Women of Destiny [ ] Couples
[ ] Youth Xtreme [ ] Unwind [ ] Mix Group

NAMES of Small Group Participants

1) ________________________________ 11) _________________________________
2) ________________________________ 12) _________________________________
3) ________________________________ 13) _________________________________
4) ________________________________ 14) _________________________________
5) ________________________________ 15) _________________________________
6) ________________________________ 16) _________________________________
7) ________________________________ 17) _________________________________
8) ________________________________ 18) _________________________________
9) ________________________________ 19) _________________________________
10) _______________________________ 20) _________________________________
(use this Small Group FORM to receive your materials — Booklets and DVD)
NO FORM = NO MATERIALS Policy
LAST Name ________________________________________
FIRST Name _______________________________________

Cell Phone _________________________________________

Land Line Phone ___________________________________
Day of Choice
[ ] Mon [ ] Tues [ ] Wed [ ] Thurs
[ ] Fri [ ] Sat [ ] Sun [ ] Any Day

Preferred Location / Area ?

___________________________________________________

Comfortable with what Grouping ?

[ ] Men’s [ ] Women’s [ ] Couples
[ ] Mix [ ] Campus Youth [ ] Young Professionals

LAST Name ________________________________________

FIRST Name _______________________________________

Cell Phone _________________________________________

Land Line Phone ___________________________________
Day of Choice
[ ] Mon [ ] Tues [ ] Wed [ ] Thurs
[ ] Fri [ ] Sat [ ] Sun [ ] Any Day

Preferred Location / Area ?

___________________________________________________

Comfortable with what Grouping ?

[ ] Men’s [ ] Women’s [ ] Couples
[ ] Mix [ ] Campus Youth [ ] Young Professionals

LAST Name ________________________________________

FIRST Name _______________________________________

Cell Phone _________________________________________

Land Line Phone ___________________________________
Day of Choice
[ ] Mon [ ] Tues [ ] Wed [ ] Thurs
[ ] Fri [ ] Sat [ ] Sun [ ] Any Day

Preferred Location / Area ?

___________________________________________________

Comfortable with what Grouping ?

[ ] Men’s [ ] Women’s [ ] Couples
[ ] Mix [ ] Campus Youth [ ] Young Professionals
 LAST Name ________________________________________
FIRST Name _______________________________________

Cell Phone _________________________________________

Land Line Phone ___________________________________
I want to HOST Day of Choice
A GROUP [ ] Mon [ ] Tues [ ] Wed [ ] Thurs
[ ] Fri [ ] Sat [ ] Sun [ ] Any Day

Preferred Location / Area ?

___________________________________________________

Comfortable with what Grouping ?

[ ] Men’s [ ] Women’s [ ] Couples
[ ] Mix [ ] Campus Youth [ ] Young Professionals

LAST Name ________________________________________

FIRST Name _______________________________________

Cell Phone _________________________________________

Land Line Phone ___________________________________
I want to HOST Day of Choice
A GROUP [ ] Mon [ ] Tues [ ] Wed [ ] Thurs
[ ] Fri [ ] Sat [ ] Sun [ ] Any Day

Preferred Location / Area ?

___________________________________________________

Comfortable with what Grouping ?

[ ] Men’s [ ] Women’s [ ] Couples
[ ] Mix [ ] Campus Youth [ ] Young Professionals

LAST Name ________________________________________

FIRST Name _______________________________________
Cell Phone _________________________________________
Land Line Phone ___________________________________
I want to HOST Day of Choice
A GROUP [ ] Mon [ ] Tues [ ] Wed [ ] Thurs
[ ] Fri [ ] Sat [ ] Sun [ ] Any Day

Preferred Location / Area ?

___________________________________________________

Comfortable with what Grouping ?

[ ] Men’s [ ] Women’s [ ] Couples
[ ] Mix [ ] Campus Youth [ ] Young Professionals