Life Group Sign-Up
Name:
Gender:
Male
Female
Birthday:
/
/
(mm/dd/yyyy)
Address:
Email:
Phone:
Campus Area:
Central
Hill
North
Off Campus
Age Group:
Youth (6th-12th)
UG - Freshman
UG - Sophomore
UG - Junior
UG - Senior
UG - 5+
Grad
Single Adult
Married
(For Upcoming 2009 - 2010 School Year)
Students: Will you be in Ann Arbor for Spring term, Summer term, or both?
Spring
Summer
Both
If you are an international student, would you be interested in joining an international life group (meets on Saturday)?
Yes
No
Which night are you available to meet? (please mark all that apply)
Youth:
Saturday
Undergrad:
Tuesday
Wednesday
Grad:
Tuesday
Wednesday
Single Adult:
Saturday
Married:
Tuesday
Wednesday
Who were the leaders of your last life group?