influencers
Summer 2015 Connect Groups
Connect Group Name
*
This is how your group will be identified on all flyers, on-line, etc.
Day of the week Group meets
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Start Time
*
Start Time
Hour
Minute
Second
AM
PM
End Time
*
End Time
Hour
Minute
Second
AM
PM
Group Description
*
Location Name
Describe where the group meets
Address
*
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Leader Name
*
Leader Name
First Name
Last Name
Leader Phone
*
Leader Phone
(###)
###
####
Co-Leader 1 Name
Co-Leader 1 Name
First Name
Last Name
Co-Leader 2 Name
Co-Leader 2 Name
First Name
Last Name
Attendees
*
Male only
Female only
Co-ed
Children Welcome?
*
Yes
No
Age Group
*
All
Adults Only
Adults and Young Adults
Adults, Young Adults, Youth
Thank you!