New Life Group Application

(If hand writing, please print clearly)

Leader’s Name(s): ___Dayne

Jones___________________________________________
Spouse: ___Gabrielle Jones_________________________________________
His Birthday: _06/08/88____ Her Birthday: __05/29/89__ Anniversary: ___08/01/09___
Phone(s): Home: ___n/a___________ Cell: __(813)767-8257 or (813)625-4253________
His E-mail: __cdjones4@mail.usf.edu__________________________________
Her E-mail: ___spence.gabrielle@gmail.com___________________________________
Address: ___231 Red Maple Place_________________________________________
City___Brandon____________________ Zip _33510__________
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Host’s Name(s): ____same as above_(host home varies)__________________________
Spouse: ____________________________________________________________
His Birthday: ____________ Her Birthday: ___________ Anniversary: ___________
Phone(s): Home: ________________________ Cell: ________________________
His E-mail: __________________________________________________________
Her E-mail: __________________________________________________________
Address: ____________________________________________________________
City __________________________ Zip___________________________

Type of Life Group: __Young Couples/Young Adults___________

Start Date: __2/10/10_____
Time your Life Group will be meeting? From: _7:00pm_______ To: ___9:00pm_______
Curriculum of Study: Sermon Based, etc…___devotional studies____________________
Other needs or comments: __________________________________________

Bay Life KIDS Childcare Needed? Yes____ No_x__

** Childcare is only available Wed. & Thurs nights. Cost is $4.00 per child / $10 per family.
Advanced reservations are required**

Completed Starting Point? Yes____ No____ Date:_________________

Attended Life Group Basic Training? Yes____ No____ Date:_________________

Additional Steps: ______ (1) Meet with a Life Group Coordinator

______ (2) Complete Life Group Flyer Information Sheet
______ (3) Have Flyer picture taken

Approved: ___________________________ Date: ___________