Fuse Group Sign Up Entry

Fuse Small Group Sign Up

Please complete this form to sign up for a Fuse Small Group!

Campus

First Name

Last Name

Your Phone

Communication Preference

Email SMS

When is the best time for us to contact you?

Preferred Contact Method

Parent/Guardian Name

Parent/Guardian Phone

Birthday

/ /

Gender

Have you been part of a FUSE Small Group before?

Address

School

Grade

List any friends you'd like to be with

If you would like to request a specific leader, please enter his/her name here.

Submit