Grateful Living Small Group Signup

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Street Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Are you already a member of a group? REQUIRED Yes No Please fill out this field.

If yes, my group leader's name is Please enter valid data.

If yes, we have made arrangements to continue to meet. Yes No

If you are not yet in a group or would prefer a new group, please respond to the following:

I am able to meet: by Zoom (internet access required) in person in a group meeting at St. Joseph or Holy Family Social Hall (requiring social distance & face coverings) would consider meeting in a different location with face coverings and social distance.