MMC Youth Small Group Interest Form

Please complete this form and the appropriate Small Group leader will contact you soon.

Student Name

*

Gender

*

Please select all that apply.

Male Female

Email

*

This address will receive a confirmation email

Phone

*

Grade for the current school year:

*

Please select one option.

6th 7th 8th 9th 10th 11th 12th

Do you attend Madison Methodist Church?

Please select all that apply.

No, I'm only interested in youth group. No, I attend a different church. Occasionally Yes, I'm a regular attender

Description

Please complete this form and the appropriate Small Group leader will contact you soon.

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