There are 25 entry areas on this form. If you need more room, please submit this form and follow the instructions on the next page.

Leader Name
Group Study
How many members are in your small group?
How many total adults? Please include yourself in the number.
How many teenagers? Ages 13-19
How many children? 12 & under
Please list each member in your group. Include first name and last name and separate using a comma. List adults only.
Are any of these people new to CHC Small Groups?	yes no
If yes, please list their names.

Please answer the simple math question below to submit the form.

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Small Group Connections

Colonial Hills Church 7701 Hwy 51 North, Southaven, MS 38671 (662) 393-2445