Plug Me In! • Inland Vineyard Church

First Name *

Last Name *

Phone Number *

Email Address *

Date of Birth *

Age *

Gender *

Did you have a specific group in mind? If so, which one? *

Did someone invite you to their specific group? If so, who?

Would you prefer a virtual group, or an in-person group?

Virtual group

In-Person group

Tip: Select all that apply. Virtual groups meet online. In-person groups meet either at a home or on the church campus.

Which day(s) work best for your schedule?

Tip: Select all that apply. Campus groups are only on Wednesdays.

Are you looking for a stage of life group, men's/women's group, or an interest group?

Stage of Life

Men's/Women's

Interest

Tip: Select all that apply

Will you need childcare? *

Tip: Vineyard Kids small groups are available on Wednesdays

If you need childcare, how many children will you need it for?

If you need childcare, what are the ages of the children you will need it for?

Questions/Comments?