Life Group Interest Form

I am most interested in joining a... *

Men's or Women's Group

Mixed Group: Couples & Singles

Recovery Group: Celebrate Recovery

How long have you been attending NewLife Church? *

What days of the week are you available to meet? *

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Where do you live? *

Pleasant Hill

Altoona

Mitchellville

Runnells

Praire City

Colfax/Newton

Bondurant

Ankeny

Des Moines

West Des Moines/Johnston/Windsor Heights/Urbandale

Lynnville/Otley/Sully

Carlisle/Norwalk/South Des Moines

Other

What is your stage of life? *

Single w/o kids

Single w/kids

Widowed

Married/no kids

Married/young kids

Married/teenagers

Married/empty nester

Other

Do you need childcare? *

Yes

No

What is the best way to contact you for follow up? *

Phone

Email

Text