Join A Cell Group
I'd like to join a cell!
Title
*
- Select -
Mr
Mrs
Miss
Mdm
Ms
Dr
Prof
Surname
*
Name
*
Age
*
Gender
*
- Select -
Male
Female
Address
*
Postal Code
*
Contact No.
*
Email
*
Marital Status
*
- Select -
Single
Married
Divorced
Widowed
Occupation / School / Institution / Camp
*
Preferences
When is a convenient time to call?
(e.g. 9pm)
Preferred day of Cell Meeting
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred time of Cell Meeting
(e.g. 2pm)
Preferred language
- None -
English
Chinese
Hokkien
Others
Have you attended LC3 Encounter Weekend?
- None -
Yes
No
If attended
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2019
2020
2021
2022
2023
2024
Team Pastor (if any)
Remarks
Terms
*
By submitting this form, I permit FCBC (staff or leader) to contact me in response to my interest to join a cell group.