Growth Groups Registration Form | Fall 2019
Please fill out this form and click submit.
KING OF GLORY LUTHERAN CHURCH
10280 Slater Avenue
Fountain Valley, CA 92708
Our six-week church-wide study is Sept. 22 – Nov. 3, 2019.
Registration due by Sept. 11, 2019.
Name
*
Email
*
This address will receive a confirmation email
Address
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
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NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Phone
*
Tell us about yourself:
*
Please select all that apply.
Youth
Empty Nester
Couple
Couple with Children
Other
Retired
Single
Single Parent
KOG Pre-School
New to Growth Groups
Will you and your spouse attend the group together?
Please select one option.
Yes
No
Select Option
Yes
No
Name of Spouse if Applicable:
If you have previously been in a Growth Group and would like to keep the same leader, enter their name here:
What days are you available to meet?
*
Please select all that apply.
Monday
Tuesday
Wednesday night on KOG Campus
Wednesday outside of KOG Campus
Thursday
Friday
Saturday
Sunday
What time would be best for you to meet?
*
Please select all that apply.
Early Morning
Morning
Mid Day
Evening
If available, I would like a group for:
Please select all that apply.
Men
Women
Men and Women
Couples
Age:
*
Please select one option.
13-18
19-24
25-34
35-44
45-54
55-64
65+
Select Option
13-18
19-24
25-34
35-44
45-54
55-64
65+
If available, I would prefer a group that can offer child care
Please select one option.
No
Yes
Can’t participate without child care
If childcare is unavailable I can find a way to attend
Will your Children Participate in the 40-day Challenge?
Please select one option.
No
Yes
Select Option
No
Yes
Children Names & Ages:
I am willing to provide child care to a Growth Group:
Please select one option.
Yes
No
Select Option
Yes
No
I would like to learn more about being a Growth Group Leader:
*
Please select one option.
Yes
No
Select Option
Yes
No
How far are you willing to drive?
Please select one option.
0-5 Miles
5-10 Miles
10-20 Miles
To KOG Campus
Select Option
0-5 Miles
5-10 Miles
10-20 Miles
To KOG Campus
Transportation:
Please select one option.
I don’t drive and need transportation to participate
I am willing to provide transportation to someone who needs it
Any other information you would like us to know?
Cost Information
Books for High School and Adults are $10.00. How many do you need? Make checks payable to KOG and indicate Growth Groups in the memo line.
*
Youth are Free. How many are participating?
Submit
Description
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