Small Group Signup Form

I Would Like To Get Connected in A Small Group!

Salutation
First Name
Last Name
Address
City,State,Zip
Contact Phone
Contact Email
Is this your first time in a CHC Small Group?	yes no
Specify the group that you wish to join. You may type either the group name or the leader's name. If no preference, then type "no preference".
I would prefer to be in a group that meets on:	Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Please list everyone in your family that will be attending the small group with you and include their ages.
Are you a returning member of the group indicated above?

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

2 + 2 =

Small Groups

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