SSM Irvine North LEADER Life Group Registration 2025-2026

Leader Registration Form
Thank you for expressing interest in leading a Life Group with us in SSM. We could not have Life Groups without our amazing leaders! YOU ARE AN ANSWER TO PRAYERS!

These life groups are so important for our students because they are an awesome way for a student to connect with others and grow closer to God. These groups will spend time laughing, praying, learning, and serving together. They will officially kick off in Mid-September! You will get more info about it once groups are put together in late August!
Name*

First NameLast Name
Birth Date*

MonthDayYear
Gender*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
[email protected]
Phone Number*
Please enter a valid phone number.
Adult Shirt Size*
Adult Sweatshirt Size*
I am most encouraged when people.... (check 2)*

Verbally encourage meGive me giftsTake time to write me a noteSpend time with me (ex. getting food or coffee together)Recognize me in front of othersAsk for my helpDo nice things for me
Additional Comments
Should be Empty:

Leader Registration Form