D-Group Sign-Up Name: Address: City: State: Zip: Phone: Cell: E-mail: Gender Male Female School: School Year: Choose Year Freshman Sophomore Junior Senior School Activities: Hobbies/Interests: Name of your previous sm. group leader: Name of one friend you really want to be in a small goup with: If possible, do you wish to stay with the same Small Group Leader? Yes No Note: Name, E-mail, and Phone Number are required fields. Contact: Jason Wetherholt Adult Minister Steph Wetzel Student Ministry Assistant Nash Propst Student Ministries Intern sundays | calendar | adults | students | children | about | outreach | site map Windsor Road Christian Church | 2501 W. Windsor Road | Champaign, IL 61822 p. 217.359.2122 | f. 217.359.7623 | © 2005 Windsor Road Christian Church