ReGroup Registration

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

Leader(s) Name *

First

Last

Leader's Phone Number *

Leader's Email *

2nd Leaders Name (optional) *

First

Last

Meeting Location (Street or Business Address / City / Zip) *

What day(s) of the week will group meet? *

Frequency *

Time Group Will Meet *

Material Your Group Will Cover (Optional Field. Please provide link if purchase of materials required) *

Short Group Description (this may be edited if space is needed) *

Submit