Join A House Church - The Water's Edge Omaha

Name (adult 1)*

First Last

Adult 1's Email (make sure this is correct)*

Phone*

Name (If you are registering as a couple, please enter the adult 2 name here.)

First Last

Adult 2's Email (make sure this is correct)

Phone

What type of Small Group are you looking for?*

Check all that apply.

Do you have children?*

Children's names and ages

Child's Name	Age

(Click on the "+" to add more than one child.)

Please write any questions, comments or concerns you have about joining a Life Group below.