Missional - Go Serve Local - Group Registration

We seek to provide neighborhood transformation as we engage churches and individuals to impact their surrounding community by providing affordable housing remodeling and building new home.

This form is for registering a group of people.

All fields below are required to submit this form.

Group Leader Information

Please enter the information for the group leader so we may contact them.

First Name

Last Name

Mobile Phone

Postal Code

Email Address

Age Range
So that we can best serve you, please select your age range.
16 - 17 18 - 24 25 - 64 65+

Organization

Select the organization with which you will participate.

If "other", who?

Group Name

Please create a name for the group.

Group Members

Please list your group members first name, last name and email addresses.

First Name	Last Name	Email Address
			Remove