Student LifeGroup Sign-Up

We are glad that you would like to get connected with a LifeGroup! Please fill out the information below and someone will be in contact with you to get you connected! If you are already assigned to a group, that's great! You do not need to fill out this form again each year. 

Note that if your student is entering 7th grade in the fall, please sign up now, but those groups will be formed in late August or early September.

* Please be aware that we will continue to communicate with your student via GroupMe and text message - both as a group and individually - in order to check in with them apart from in-person events.We believe this is the best way for us to reach students and disciple effectively. If you prefer that we do not communicate with your student in this way, please email

*Address Line 1
Address Line 2
*Zip/Postal Code
*Name of student
Please list the one friend you would most desire to be in a LifeGroup with:
*What school do you attend?
*Grade entering in the fall
Student Email Address
Student Cell Phone #
*Parent Name(s)
*Parent Cell #(s)
*Parent Email Address(es)
Does your student have any dietary allergies/restrictions?
Does your student have any medical conditions that you think we should be aware of?