Basic Family/Individual Interest Form
Quick ways to get connected and see what may work in your busy schedule. 
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LAST name *
FIRST name (s)  *
Will this be for an individual or family/more? *
E-mail *
Cell Phone Number (willing to receive text messages)
If you are interested for someone under 18 to meet one on one, please write the GUARDIANS NAME below. 
How many sessions are you possibly interested in. (Select all that apply.)  *
Required
What interests you as the base of your learning? (Check all that apply.)  *
Required
Are there any specific topics you may want to engage in? Hot Topics: Queer Theology, Christian Nationalism, Hell, Death... etc.) 
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