Registration

Person

First Name

Last Name

Gender:

If you are registering someone else for Rooted, please provide their email and phone number, not yours. We don't want them to miss out on important information we will be sending later!

Cell

T-Shirt Size:

Are you currently in a Life Group?

Yes No

If yes, what is your leaders name?

Do you attend Central? If yes, what campus?

Do you plan to go through Rooted with members of your Life Group?