Life Group Interest Form
First Name
Last Name
Email
Phone Number
Zip Code
Marital Status
Single
Married
Widowed
Separated
Divorced
I'd rather not say
Do you have children living at home? If yes, check all that apply.
No
Infant through 3 years old
4 Years Old through Kindergarten
First through Fifth Grade
Junior High
Senior High
Adult Children at Home
Select all that apply:
This is my first time joining a Life Group at CBC.
I serve on Sunday mornings.
I was invited to join a specific Life Group.
Great! Let us know who invited you and the name of the Life Group:
I'm interested in:
A Men's Life Group
A Women's Life Group
A Married Couples' Life Group
A Young Singles Adults (ages 23-30) Life Group
A Soon-to-Be or Recently Married Life Group (married 5 years or less)
A Life Group for Moms with Young Children (ages birth-fifth grade)
Which age range best describes you?
18-22
22-29
30-39
40-49
50-59
60-69
70+
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