New Life Center Enrollment Form
Thank you for making the decision to enroll in the New Life Center.  We look forward to working with you and your family to help you see the results you are looking for in your children.  Please complete the following enrollment form to participate in any of the New Life Center programs.  Someone will contact you to schedule your workshop time and location.
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First Name *
Last Name *
Address *
Apt # *
City *
State *
Zip Code *
How did you hear about the New Life Center?  *
Are you a Davidson County (TN) Resident? *
Email Address *
Cell Phone Number *
Date of Birth *
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What agency referred you to the New Life Center? *
Which program(s) would you like to participate in? (Please select all that apply.) *
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Please choose the Training Camp for Dads session you would like to attend.
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