Life Group Registration • Influence Church

If you would like to join one of our Life Groups, please fill in the form below!

Personal Details

First Name *

Last Name *

Date of Birth *

Contact Details

Email *

Phone Number *

Address

Address Line 1

Town

Post Code

Life Group Details

Life Group Preference

Please indicate your Life Group preference.

Preference - Richmond Location

Mixed group

Male / Female only group

No preference

Preference - Barnard Castle Location

Mixed group

Male / Female only group

Family group

No preference

Time Preference

Daytime

Evening

Consent

By completing this form, I consent to Influence Church using and storing my personal data digitally, for the purposes of general Church administration, pastoral care and communication as stated in our Privacy Policy located on our website.