LV Youth Small Group Interest

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Student Name

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Student Email

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This address will receive a confirmation email

Student Phone

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Parent/Guardian Name and Phone Number

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Current Grade

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Please select one option.

6th (Class of 2033) 7th (Class of 2032) 8th (Class of 2031) 9th (Class of 2030) 10th (Class of 2029) 11th (Class of 2028) 12th (Class of 2027)

What days could you usually meet for a small group throughout the school year? Check all that could work.

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Please select all that apply.

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

What times generally work best? Check all that could work

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Please select one option.

Afterschool (4-6pm) Early Evening (5-7pm) Evening (6:30-8:30pm) Other: ____________

Is there anything we should know about your availability? (Sports, work, transportation needs, etc).

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How interested are you in joining a Student Small Group?

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Please select one option.

Yessss! I'm very interested Probably - I'd like more info Maybe, depending on the day/time Something else: ___________

Description

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