Discipleship Request Form
Use this form if you would like to request to be taken through the CORE4 discipleship process.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Are you UNDER the age of 18?
YES
NO
Are you currently involved in a Life Group?
*
YES
NO
If so, please list the name of your Life Group Pastor(s):
Once you submit this form, you will hear from a Life Reach team member who will connect you with a Point Leader to oversee your discipleship process through the CORE4. Do you have any questions at this time?
Submit
Should be Empty: