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B4T Champion Intake Form
This form is for collecting all necessary contact information and meeting availability times for participants in the B4T Champions groups.
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* Indicates required question
Email
*
Your email
First and Last Name
*
Your answer
Street Address
*
Your answer
Country
*
Your answer
City
*
Your answer
State
*
Your answer
ZIP Code
*
Your answer
Phone Number - (country code) (number)
*
Your answer
Home Church
*
Your answer
Current Vocation
*
Your answer
Participation Level
Audit
Certificate
Clear selection
For the 2 hour monthly lesson call, please mark all times you are available to meet.
*
Monday Daytime
Monday Evening
Tuesday Daytime
Tuesday Evening
Wednesday Daytime
Wednesday Evening
Thursday Daytime
Thursday Evening
Friday Daytime
Friday Evening
Saturday Daytime
Saturday Evening
Sunday Afternoon/Evening
Other:
Required
Discount code?
Your answer
Any other questions or comments?
Your answer
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