First Name (required)
    Life Group Name
    Name of Organization/Ministry where you Served (if applicable)
    Service Opportunity (What did you do?)
    Length of Time Served (in hours)
    Number of People Served
    Last Name (required)
    I serve my group as our:
    Facilitator/LeaderCoordinatorMission Liaison
    Date Served (required)
    How many life group members participated?
    Was the Gospel shared?
    YesNo
    Number of Salvations (if applicable)
    Additional Comments