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Women's Discipleship Form
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Form Entry
First Name
First Name is required.
Last Name
Last Name is required.
Email
Email address is not valid
Email is required.
Mobile Phone
Mobile Phone is required.
Address
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KS
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NY
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MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
What Congregation do you attend?
Rogers
Fayetteville
Bentonville
What Congregation do you attend? is required.
Preferred contact method
Text
Email
Call
Preferred contact method is required.
What best describes your season of life (check all that apply):
Blended Families
College Age
Empty Nest
Grandfamily (raising grandchildren)
Parent of Teens
School-Age Family
Senior Adults
Single 40+
Young Adult
Young Family
Young Married
Other
What best describes your season of life (check all that apply): is required.
Best time of day for you to meet
Early Morning
Mid Morning
Lunch
Afternoon
Evening
Best time of day for you to meet is required.
Best days of the week
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Best days of the week is required.
Would you be open to meeting in a group of 2-3, or prefer 1 on 1?
1 on 1
Small Group
Open to either
Would you be open to meeting in a group of 2-3, or prefer 1 on 1? is required.
Is there anything else you feel we should know about you?
Is there anything else you feel we should know about you? is required.
Submit