Name *

First Name

Last Name

Phone

(###)

###

####

Young Children Attending

Yes

Select Possible Times in Sexsmith

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

Monday Evenings

Tuesday Evenings

Thursday Evenings

Select Possible Time in Grande Prairie

Wednesday Evening