Kingdom Central - Group Leaders

Small Group Leader Form

Are you a currently a member of Kingdom Central?

Yes

No

Are you planning on becoming a member within the next month?

Yes

No

First Name

Last Name

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Email

Phone Number

Where will your group gathering be held?

Who will this group be for?

What date do you have in mind for your group meeting this month?

What time will your group meet this month?

Please provide an appropriate contact number or email for those that are interested in joining your group.

Do you give us permission to list your contact publicly on our website for those interested in attending?

Yes

No

Describe your ideal group meeting: