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Leader(s)
First Name
Last Name
Email
Phone Number
Date of birth
Month
January
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December
Date
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Year
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2015
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2018
2019
2020
2021
2022
2023
2024
Gender
Male
Female
I'd rather not say
Group Info
Small Group Name
Group Description
Where will the group meet?
When will the group meet?
Frequency
Every
Every other
Every first
Every second
Every third
Every fourth
Day(s)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Time
AM or PM
AM
PM
Who will the group be for?
Men
Women
Singles
Couples
Families
Youth
Kids are Welcome (with an adult)
Age Preferences
Jr. High
High School
College
20-30
30-40
40-50
50+
All Ages
Will this be a Freedom Group?
No
Yes
Have you previously attended Small Group Leader Training?
No
Yes
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