Small Group Sign Up

First Name*

Phone Number*

Please indicate your preference(s):*

Wednesday nights
Other weeknights (please specify in the space below)
Weekends only
Any of the above

Please indicate your group preferences:*

Mixed Gender
Women
Men
Singles
College / Youth

Childcare is provided at Covenant for groups meeting on Wednesday nights beginning at 5:15pm for ages 4 and under. Do you need childcare?

Yes
No

Last Name*
First Name*
Email*
Phone Number*
Age Range*	College Student 20 - 29 30 - 49 50 - 69 70 and above
Please indicate your preference(s):*	Wednesday nights Other weeknights (please specify in the space below) Weekends only Any of the above
Other Availability
Please indicate your group preferences:*	Mixed Gender Women Men Singles College / Youth
If signing up as a couple, name of spouse or significant other:
Childcare is provided at Covenant for groups meeting on Wednesday nights beginning at 5:15pm for ages 4 and under. Do you need childcare?	Yes No

Join a Small Group!