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Join a Discipleship Group!

Please fill out the form below if you are interested in joining a DGroup. We will contact you and help place you in a group. After you fill out the form we will get in touch with you for more information.

Teen's Name *
Teen's Name
Teen's Cell Number *
Teen's Cell Number
Required for communication. Must be teen's cell, not parent's.
Address *
Parent's Name *
Parent's Name
Parent's Cell Phone *
Parent's Cell Phone
Home/Work Phone
Home/Work Phone