KP Member Registration Form

New Key Player Application

C12 Key Player Group participation is targeted to growing leaders of C12 Member Companies who desire to be developed as leaders, and equipped to understand and contribute to the purpose, vision, and performance of companies to which they have been called.
Full Name*

First NameLast Name
Mobile Number*

Area CodePhone Number
E-mail*
Company Name*
Business Title*
E.g., Manager, VP, Supervisor
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Accounting Email*
This is the email address you prefer for invoices from C12.
Functional Responsibilities*
Briefly describe your role(s) and responsibilities
Spouse's Name

First NameLast Name
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Membership Basics
Members meet monthly on a regular day (e.g., 3rd Thursday of each month) and commit to faithful attendance. This is defined as attending at least 10 of 12 monthly meetings each year and avoiding absence at two consecutive meetings.

The effective functioning of group relationships relies on the stability, timeliness and understanding which accompany faithful attendance and transparency.

Members generally have sufficient control over their calendars to enable such participation.
Key Player Business Forum*

Allen (Second Thursday)Canyon Creek (Second Monday)Richardson (Third Monday)Northwood (Second Thursday)Lookout (Second Wednesday)Plano (Fourth Tuesday)
Membership Start Date

MonthDayYear
The month indicated is your first billing month.
FOR C12 CHAIR PROCESSING (no input required from member)

Registered new member with C12 Headquarters (C12App)
Added new member to forum email list
Created and send initial invoice
Added a recurring invoice
Delivered C12NT New Member folder
Notified forum that new member joined
C12 Membership Agreements (please check all)*

I agree that I do/will fulfill the requirements of the membership basics.I agree to maintain strict confidentiality, never sharing another member’s business, relationships, or personal details outside their Business Forum.Soliciting other members for services or products is prohibited. Business relationships within C12 may occur naturally, but a Business Forum is not a lead-sharing or networking group.I acknowledge the C12 doctrine statement and agree to refrain from divisive behavior knowing that C12 embraces the pursuit of God’s best in all things according to the Bible.I understand that membership auto-renews and that all fees must be current.If I decide to terminate my membership, I promise to express my intentions and reasons to my peer group during my final meeting.With these agreements, I desire to become a Key Player Forum member.
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New Key Player Application