Freedom Session Registration
Introduction night is October 6 from 7pm - 8pm. Classes begin Wednesday, October 20  from 7:00 - 9:15 pm.
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Freedom Session and COVID-19
We will be abiding by provincial health guidelines and restrictions. We are hopeful that come the fall Freedom Session will return to normal.
Name (First & Last) *
Phone *
Email *
Address *
Gender *
Required
Relational Status *
If living common law or married for how long?
If separated, widowed or divorced for how long?
Have you participated in any previous Freedom Session or Recovery programs? (check any that apply)
If you said yes to a previous F.S. or other program, when, which program, and where?
How determined are you to complete the entire 20 week program?
Low
High
Clear selection
Are you currently dealing with any of the following?
How did you hear about us?
Do you attend church?
Clear selection
Please give us the name of a contact person who is aware and supporting you with your journey through F.S. and that we can contact them if needed. *
Are you under the care of any of the following?
Are they in favour of you participating in this program?
Clear selection
If yes please explain.
Any further comments?
I hereby give consent to The Christian Reformed Church of Maple Ridge, BC, to use this personal information for my pastoral care, participation in church related activities and emergency care. I understand that my personal information may be given to pastoral and/ or church staff, program leaders, event coordinators, and/or emergency personnel on a need to know basis. My personal information will be securely stored in an appropriate place, and will not be passed on to any third parties without my/our consent. By clicking "yes" I indicate that I have read and understood this registration. I further understand that neither Freedoms Session Resources nor Freedom Session International Ministries has any privileges to this information or the responsibility for it."
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