Event Signup

Life Group Questionnaire

• Days Available:*
  Monday

  Tuesday

  Wednesday

  Thursday

  Friday
• Geographical Preference*
  North London

  South London

  East London

  West London

  Central London
• What stage of life are you in?*
  Single

  Newly Wed

  Married for Years

  Kids at Home

  Retired
• Why would a Life Group be a good step for you at this time?*
• What do you hope to gain from a Life Group and what do you hope to contribute to a Life Group?*
• I am:*
  Male

  Female

  Coming with a spouse
• Your information:*
  First Name

  Last Name
• E-mail *
   
• If coming with a spouse, their information:
  First Name

  Last Name
• Their e-mail
   
• I have completed WLA 101*
  Yes

  No
• Anything else to add?