Events

Name*

First Last

Email Address*

Phone*

Co-leader's Name

First Last

Co-leader's Email

Have you attended Group Leader Training?*

Has your Co-leader attended Group Leader Training?

About Your Group

Type of Group you are leading (Check all that apply):*

Name of your group*

Brief Description of your group*

Who is your group for (Check all that apply):*

Does your group meet weekly or every other week?*

Day of the week your group meets on*

Time your group meets at*

:

Does this group have any cost? If so, what is it?

Do attendees need to bring anything? If so, what?

Location Name

Location Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country