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*
Birthday*

MonthDayYear
Date
Company Name*
Business Title*
E.g., Manager, VP, Supervisor
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
YesNo
C12 Member Name

First NameLast Name
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 (if married)

First NameLast Name
Anniversay (if married)

MonthDayYear
Date
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Membership Basics
Members meet monthly on a regular day (e.g., the 3rd Thursday of each month) and commit to faithful attendance. This is defined as attending at least 10 of 12 monthly meetings yearly 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.
Allen (Second Thursday)Canyon Creek (Second Monday)Richardson (Third Monday)Maridoe (Second Thursday)Lookout (Second Wednesday)Plano (Fourth Tuesday)Waco (Second Friday)Zavala (Third Thursday)
Membership Start Date*

MonthDayYear
The month indicated is your first billing month.
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.
Lessons from peersPractical tools to solve business challengesAccountability for critical goalsSpiritual growthTrusted relationshipsAlignment with my CEO’s visionOther
Developing and retaining talentBuilding a healthy culture and clear communicationScaling operations and processesStrategic planning and executionDriving revenue growthWork-life integration and time managementIntegrating faith into daily leadershipOther
I think out loud in group settings to reach the best idea.Meetings and social events usually energize me.I prefer spontaneous discussions and working in groups.I feel better prepared when I can think through my options before a discussion.After group meetings, I need quiet time to recharge and refocus.I do my best work independently with minimal interruptions.
Central – faith openly guides my decisions and leadership.Significant – it shapes my values, but I express it selectively at work.Personal – I keep faith mostly private, though it informs my character.Curious – I’m exploring matters of faith and open to learning.None – faith is not currently part of my worldview.Other
WeeklyBi-weeklyMonthlyQuarterlyAs needed onlyNeverOther
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New Key Player Application