Request to join a Bridge life group

First and last name

Phone number

Email

Birthday

Month

Day

Year

Are you a Lifeway member?

Yes, I took Lifeway 101: Membership Class with Pastor John

No, but interested in taking the Membership class

No, and not interested in taking the Membership class

Are you interested in getting baptized?

Yes, I would like more information on getting baptized

No, I have already been baptized

No, not at this time

Which day do you prefer for life group?

Wednesday

Friday

Both work for me

Neither work for me

What is your marital status?

Single

Engaged

Married

Do you have any life group preferences in terms of shepherd(s) or members you want to be in the same life group with?

Certain life groups may be at capacity but we will do our best to accommodate your preferences!

Any additional questions, comments or concerns?

Bridge shepherds