Small Group Registration

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Use tab to navigate through the menu items.

Complete the form below to sign up for a small group.

First Name

Last Name

Email

Spouse's First Name

Spouse's Last Name

Street Address

Street Address Line 2

City

State

Zip Code

Mobile Phone

Which days/nights work for you to attend a small group? (Choose all that apply)

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

What time of day works best for you?

Morning

Afternoon

Evening

Thank you! We will reach out soon.

(724) 537-8141

Latrobe Campus
440 Main St.
Latrobe, PA 15650

New Derry Campus

5742 State Route 982
New Derry, PA 15671

The Summit Campus

415 Brennan Ave

Loyalhanna, PA 15661

Thanks for submitting!

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