Re:Generation Waitlist application
Re:Generation is a call to become a fully devoted follower of Christ. 
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Email *
Thank you for your interest in joining Re:Generation. Re:gen is a year long discipleship program that is Christ centered, focused on growing your faith, and building community. There is daily work to be done in the workbooks, and weekly gatherings for teachings and group time. 

Please fill out this application carefully and thoroughly. 

*submitting this application does not guarantee placement in the program as space is limited*
Full Name *
Phone Number *
Gender *
Which campus do you attend? *
Are you able and willing to commit to the year long program? *
Will you need childcare? Please indicate how many children and their age or grade. (Nursery-5th grade) *
Why do you want to join Re:Generation? *
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