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ReGroup Leader Form
Please fill out this informational form on the group you are leading.
This information will be used on ReGroup promotional materials and on the reveal website.
*
Indicates required field
This is for a....
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New group
An existing group. Just making some updates!
As a pause or cancellation (Note date details in description section please)
Leader(s) Name
*
First
Last
Leader's Email
*
Leader's Phone Number
*
2nd Leaders Name (optional)
*
First
Last
2nd Leader's Email
*
2nd Leaders Phone Number
*
If there's a 3rd leader, please just note in description.
Location (House Address, Business, Virtual, etc.)
*
What day(s) of the week will group meet?
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Frequency
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Weekly
Bi Weekly
Monthly
Other (provide details in "What Day" field please)
Time Group Will Meet
*
Group start date or are you already currently meeting?
*
Material Your Group Will Cover (Optional Field. Please provide link if purchase of materials required)
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Category (Restore Group, Mom's, 50+, Young Adult, etc.)
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Short Group Description *may be edited if space is needed
*
Submit