Session Application
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First and Last Name *
Orientation date you attended *
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Gender *
Date of Birth *
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Address (MUST include city, state & zip code) *
Home Phone *
Mobile Phone *
Mobile Phone Carrier *
Email *
Church Home *
Full name of the person who referred you to Freedom Fighters? *
I would evaluate my need for a Freedom Session as: *
Where will you be receiving your session? *
Obbligatorio
If you checked "other" location to receive your session, where will you be receiving your session?

Please select all time slots that work for you: 

 *
Obbligatorio
Preferred team composition: *
To insure you have attended Zoom Online Orientation, what was the "Word of the Day" at your orientation? *
I want to be trained as a Freedom Fighter.
 *
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