How are you currently connected to New Life Providence Church?

Member Regular Attender Occasional Visitor Not currently attending

Tell us how to get in touch with you:

Name:
E-mail:
Phone:
Address: State:	Please Choose Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virgnina Wisconsin Wyoming     Zip:

Helpful, but optional info:

Age Range:	Please Choose 12-17 18-24 25-39 40+
Gender:	Please Choose Female Male
Marital Status:	Please Choose Single Married
Children:	Please Choose Children will be Attending No Children will be Attending

Days of the week that you are available to participate in a Life Group:

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Are you interested in leading or assisting in leading a Life Group?

Yes, soon. Yes, future. Maybe. Not at this time. Not unless I hear an audible word from God!

 

Check all that apply:

Please email me a link to the Life Groups Directory.

Please mail me a printed copy of the Life Groups Directory.

Please DO NOT call me about Life Groups.

Additional Comments: