C-GROUP REGISTER FORM Leader 1 * First Name Last Name Phone for Leader 1 * (###) ### #### Email for Leader 1 * Co-Leader First Name Last Name Phone for Co-Leader (###) ### #### Email for Co-Leader Time of Group * Day your group will meet * Monday Tuesday Wednesday Thursday Friday Saturday Sunday Celebrate Recovery HOP Students Physical Address of meeting place Address 1 Address 2 City State/Province Zip/Postal Code Country Virtual (link) http:// Group Requirement: ex. newly married, female, single, a recovering addict, age range, etc. Will Childcare be provided? * Yes No If childcare is provided, is there a cost associated? Number of members accepting * 12 max How long will your group last? * Max 2 hours Thank you! This will take a few days for our team to upload it into our system. Thank you for your patience.
