First Name:      Last Name:  

Home Phone:            Work Phone: Ext.:

Cell Phone:               Pager:         

Email Address:

If your group has childcare provided, w ill you be bringing your kids to the group? Yes No

If Yes, please let us know the names and ages of your children:

(Life Groups with childcare are marked with *)

Please select the check box for the Life Group that you would like to join:

Community Groups:

GC Hoops - Mike Tatlock
Mommy & Me Playgroup - Bernadette Tatlock*
Photography - Mark Pruitt
Hit for Show, Putt for Dough Golfing - Mike Tatlock
Sportsman Outdoor Adventure - Tony Morones
Cooking Connection - Angie Rettmann
Memory Keepers Scrapbooking - Toni Allen

Growth Groups:

Support Groups:

Focus Groups:

How would you like for us to get back to you:

Phone Email