Name *

First Name

Last Name

Phone

(###)

###

####

Young Children Attending

Yes

Select Possible Times

Please select all meeting times that would work for you. You will only meet with one group, but selecting multiple allows for Pastor Andrew to ensure that each START group has an appropriate number of members

Mondays, 6:30pm, Sexsmith

Tuesdays, 6:30pm, Sexsmith

Thursdays, 7:00pm, Sexsmith

Fridays, 7:30, Sexsmith