Small Group Interest - Immanuel Church

Phone number *

Include spouse's name if you both want to join a group:

Address *

Who was the Small Group Leader(s)?

Please select your age range *

18-27

28-40

41-50

51-59

60+

Type of Group you prefer to join (age): *

Same Age Range

Mixed Age Range

Fine with Either

Type of Group you prefer to join (gender): *

Men Only

Women Only

Mixed Gender

Is there a group you would prefer to be in? *

Group leader name:

Is there another person/couple you'd like to be in a group with, if possible?

If so, please list their name(s) here.

Thank you for your group interest!

We will do out very best to accommodate your requests, but please understand that we are limited in regards to group capacity and location. If you have any questions or concerns with your group placement, please contact Pastor Randy Smith (randy@immanuel.cc).