Life Group Sign-Up

Name:
Gender: Male       Female
Birthday: / / (mm/dd/yyyy)
Address:
Email:
Phone:
Campus Area:
Age Group: (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?