CG Request Group Form Entry

Request a Connect Group!

If you are having trouble finding a Connect Group for you, fill out the form below, and our team will be in touch with you as soon as possible!

First Name

Last Name

Birthdate

Phone Number

Select your PCC Location

Preferred Area of Atlanta

Preferred Group Type

Preferred Meeting Days

Preferred Meeting Time

A Connect Group Leader's primary role is to determine a meeting space, initiate gathering, and facilitate conversation.

Would you be interested in serving as a Connect Group leader?

Yes No