Small Group Registration If you are a human and are seeing this field, please leave it blank. Fields marked with a * are required. What will the topic of this group be? * What is the name of the group? * Who may attend this group? Check all that apply. Elementary School Boys and GirlsElementary School GirlsElementary School BoysMiddle School Boys and GirlsMiddle School GirlsMiddle School BoysHigh School Boys and GirlsHigh School GirlsHigh School BoysAdults 18 & UpAdult Men 18 & UpAdult Women 18 & Up What day of the week will this group meet? * What time will the meeting start? * What time will the meeting end? * Please provide a brief description of this group. This description will appear in the directory. * What materials will be used or taught from? Please note, any materials that have not been previously approved may require submission for approval. Will those attending need to purchase any materials? If so, what is the cost? * Name of Meeting Location * Meeting Address 1 * Meeting Address 2 Meeting City * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampsire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip / Post Code * What is the purpose of this small group? * First Name * Last Name * Leader Phone * Leader Email * Will you have a co-leader? If so, Who? Co-leader phone Co-Leader Email Kids Info. Check all that apply. * Childcare is provided.No childcare.Children may attend.Children may not attend.Guardian must be present w/child. Have you attended Small Group Leader Training? * Yes No Small Group Leader Honor Code As an essential part of the Impact Leadership family, you have a responsibility to develop and exhibit mature Christian behavior. This should be the basic premise of your desire to work in a Servant/Leader position here at Impact. While serving the Body of Christ as a small group leader at Impact, you pledge to demonstrate Biblical standards in all situations. As Christians, the way we present ourselves to others is of vital importance to the way others perceive Christ. Our conduct should never be an embarrassment to Christ, but should exemplify the best qualities of a mature believer and Servant/Leader. “I pledge to exemplify the highest moral commitment and maintain a disciplined life of Bible reading, prayer, and fasting. I will refrain from such things as profanity, smoking or chewing tobacco, gambling, indulging in much wine, other alcoholic beverages, dishonest gain, illegal drugs, pornography, sexual immorality, and all behaviors which might cause Christ to grieve and others to stumble. My behavior will exemplify the principles of Christ in speech and action. I will encourage others to grow in Christ and become Servant Leaders. I commit to this as a way of life measured by the heart and commitment of each leader in the Impact Church family. I will regard this Honor Code as an essential part of development and not as an imposition or restriction.” Do you agree to the above honor code? * Yes No
