CCC Groups & Classes Interest Form

Who will be leading this class?

First Name

Last Name

List co-leaders names here if applicable:

Contact Info

Phone

(###)

###

####

Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Class Info

Class or Group Name:

Class or Group Focus:

Class or Group Study Materials:

Start Date:

MM

DD

YYYY

End Date:

MM

DD

YYYY

Start Time:

Hour

Minute

Second

End Time:

Hour

Minute

Second

Where would you like to meet?

Who is the target audience for this class/group?

How can the church best assist you with starting this class?