Personal Info Name* First Last Email* Home Phone* Work Phone Group Info Group Name* Number of Weeks* Description* How you would like it to appear in the directory – subject to minor changes at time of proofing Day of the Week* SundayMondayTuesdayWednesdayThursdayFridaySaturday Dates of the Group* Indicate any dates that will be skipped Leader(s)* Include the intern if you already have one Phone Number(s) to be listed in the directory* Begin Time* End Time* Meeting Place* Joy Christian Center Include address if not at Joy Number of People* Including leaders. Minimum of 3 and maximum of 12 unless approved Open To* Be specific – if youth or children are involved, indicate by grades Childcare Available* NoYes Cost:*** **Please be specific about the cost. Include the cost of books, workbooks, and/or material and fees associated with your group. The bookstore can check on the costs and availability. Curriculum Request Comments Captcha By submitting this development form, you are agreeing to fulfill your responsibilities as stated in the HeartBeats application packet. When you click Submit this form will be emailed to the HeartBeats Coordinator. Return to Resources Page