Small Christian Communities Registration

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

What neighborhood (or area of town) do you live in? REQUIRED Please fill out this field. Please enter valid data.

Current Vocation (check all that apply) REQUIRED

Please select all that apply

Single Young Adult Married Parent With Older Children Parent with Young Children Seniors Widows/Widowers Please fill out this field.

Which session are you registering for? REQUIRED Wednesday Mornings (9:30am - 11:00am) Wednesday Evenings (7:00pm - 8:30pm) At home with SCC (must be in an existing SCC) Please fill out this field.

How many workbooks would you like? ($5/book)

Workbooks are optional

Discussion Group Preference REQUIRED

Who would you like to be in a discussion group with?

Any Couples Men Women Seniors Young Adults Please fill out this field.

Is there anyone else you would like to be in a group with? Please enter valid data.

What language would you like your discussion group to be in?

Please note that the the program is currently in English.

The next questions are for those who may be in a SCC already.

Are you currently a member of an existing Small Christian Community team? Yes No

If yes, who is the facilitator? Please enter valid data.

Would you consider facilitating a group?

We need facilitators to help with groups. All of the training is provided!

Yes No