Fill out this form to join the Discipleship Group led by Ministers Leenard and Maritza Kennedy. Step 1 of 3 33% Date* Date Format: MM slash DD slash YYYY GENERAL INFORMATIONName* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneCell Phone*Work PhoneEmail Enter Email Confirm Email Date of Birth* MM DD YYYY Gender*FemaleMaleMarital Status*SingleMarriedDo you have school-age youth?*YesNo What are you currently learning in your relationship with God?*Briefly describe your current devotional/study practices:* "I understand that I am committing to participating in monthly discipleship small group meetings and periodic activities led by the Group Leader(s) I selected. This initial commitment is for six months."Commitment Agreement*I Agree