Please complete the form to the best of your ability. Check in at the Elexio Office this Sunday between 10:00am and 11:00am to receive your certificate. Thank You!

Name *
Name
What "Leading @ The Way" classes have you completed? *
Please check off the classes you attended in order to confirm our attendance records.
Assistant Leader
Assistant Leader
Have you identified your assistant leader? If not, leave blank. (This will be the person that you train to lead their own group)
Host
Host
If you are the host, leave blank. If not, please identify the name of your host.
Location of Care Group
Location of Care Group
Please provide the address that your group will be located. If you're still unsure, leave blank.
Primary Phone *
Primary Phone
What is the best number to reach you by?
Type of Group *
Choose one:
If you're still unsure, leave blank.
If you're still unsure, leave blank.
What day do you expect to launch?
What day do you expect to launch?
If you're still unsure, leave blank.