Name *

First Name

Last Name

Phone

(###)

###

####

What Group are you interested in?

Valdez Group: Mondays 6:30-8:30 (Young Adults Group)

Teets Group: Tuesdays 7:00-9:00

Starnes Group: Wednesdays 6:00-8:00

Summit Teens: Wednesdays 6:00-8:00 (6th-12th Grade)

Garraway Group: Wednesdays 6:30-8:30

George Group: 1st & 3rd Sundays 12:00-2:00 (Childcare Provided)