*Denotes Required Field * Title * First Name * Last Name * Email * Phone ( ) - * Date Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 * What is your address? Having home addresses helps us connect group members in the same locale. Do you have a mother tongue other than English? If so, what language(s) would you be comfortable conversing in? * I consent to Saint Maurice parish sharing my contact information with volunteers and parish staff for the purposes of placing me in a Life Group. * Groups are mostly organized by Life Stage. Select your interest: Please select an option Women Men Young Adult Senior Couples Young Families Any * Are you interested in being part of an online Life Group? * Are you open to hosting a Life Group in your home as part of a group rotation? Yes No Maybe, with some support and guidance. * Are you interested in leading a Life Group with some training and support? Yes No Not at this time, but maybe in the future. * Have you ever been part of a Christian small group before? * Preferred Meeting Days: Please select your preferred meeting day. Times are indicated in the question below. Please select an option Sunday Monday Tuesday Wednesday Thursday Friday Saturday * Preferred Meeting Time Morning Lunchtime Afternoon Evening * Second Preferred Meeting Day Please select an option Sunday Monday Tuesday Wednesday Thursday Friday Saturday * Second Preferred Meeting Time Morning Lunchtime Afternoon Evening * Tell us about your journey of faith. Who is Jesus to you? Are there any significant spiritual moments that you can describe? * Are there any other concerns or questions you have? Please note all submissions are confidential.