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Freedom Fighters Orientation Application - New Hope Methodist Church, Topeka
PLEASE NOTE: Your orientation application will not be reviewed until you have completed an orientation session.
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* Indicates required question
Name
*
Your answer
Gender
*
Choose
Female
Male
Date of Birth
*
MM
/
DD
/
YYYY
Address (MUST include city, state & zip code)
*
Your answer
Home Phone
*
Your answer
Mobile Phone
*
Your answer
Mobile Phone Carrier
*
Your answer
Email
*
Your answer
Church Home
*
Your answer
How did you hear about Freedom Fighters or who referred you?
Your answer
I would evaluate my need for a Freedom Session as:
*
Choose
Emergency
Urgent
Needed
Wanted
Not Urgent
Please select all time slots that work for you:
*
Monday Night (6pm - 9pm)
Tuesday Night (6pm - 9pm)
Saturday Morning (8:30am - 11:30am)
Saturday Afternoon (1pm - 4pm)
Required
Preferred team composition (Do you prefer to be with a team who is of the same gender? If yes, choose "Gender Specific")
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Gender Specific
No Preference
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