Full Name *

Street Address *

City *

Zip Code *

Email *

Day of the Week Preference *

Time Preference

Have you been in a small group in the past? *

If so, what materials are/were you using?

Would you consider using the materials the other parish groups will be using? *

Would you consider asking a neighbor/s to join your group? *

Are you interested in being a small group facilitator? *

Do you have a group of friends/parishioners with whom you want to gather? *

Where would you like to meet? *