Community Small Group
Registration Form

    Personal Information

            Name:

            Address:

            City:     Zip Code:

            Home Phone:    Other:                

            Email:

            Gender:    Age:

            Are You a Member of NBC?

            How long have you attended NBC?

            Where did you attend church prior to NBC?

    Family Information

  Single or Married     

            If married, will your spouse be joining you?

            If yes, what is your spouse's name?

            Any children?

            Is childcare an issue for you? 

    Placement

            Zip Code where you work:

            What time do you leave work?

            Please list the nights that you CAN'T meet.

            Have you ever been in a small group before? 

            If yes, what did you study? 

    Your Spiritual Journey

            Which phrase best describes where you are on your spiritual journey? 

            Please put an "X" in the box.

              I am just exploring Christianity to see if it is real.

              I am a new Christian and I want to begin walking with other believers.

              I have been a Christian for some time and I want to walk closely with other believers.