DiscipleMe Survey Complete this form to connect your group today! Youth Minister/ Church Leader Name First Last Youth Minister/ Church Leader Email* Youth Minister/ Church Leader PhoneChurch Name Church City/Town State Age Level Responsible For*Middle SchoolHigh SchoolBothAverage Group Size- Sunday Morning* Average Group Size- Wednesday Night/ Mid-week* Number of students currently in a disciple-making relationship* Email Updates - I would like to receive information about DiscipleMe Email me! No, thank you.
