First Lutheran Church | Janesville, WI | Break Bread Small Group Ministry

Name *

Email Address *

Phone *

What type of location works best for you? *Eat out at a restaurant only. The group leader selects the restaurant. Each participant pays their own tab.Eat at someone’s home only. Group members rotate hosting duties. The host provides the meal or organizes a potluck.Either restaurant or home.

What times and days work best for you? Select up to 3 time slots. *Saturday BreakfastSunday Brunch (for adults)Sunday Brunch (for families with children)Friday/Saturday/Sunday DinnerMonday-Friday BreakfastMonday-Friday LunchMonday-Thursday Dinner

What time of day is your FIRST choice? *Saturday BreakfastSunday Brunch (for adults)Sunday Brunch (for families with children)Friday/Saturday/Sunday DinnerMonday-Friday BreakfastMonday-Friday LunchMonday-Thursday Dinner

Do you have any accessibility needs? *NoYes (if yes, describe in "additional comments" section below)

Are you willing to be a group coordinator? Group coordinators send emails to the 6-8 group members to coordinate the time and place of the monthly meal and send reminders beforehand. *YesNoMaybe

Additional Comments?

Fall 2025 Break Bread Small Group

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