2024-2025 School Year Student Application
Student Name
*
First Name
Middle Name
Last Name
Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
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Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
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1971
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1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Phone Number
*
Please fill in your t-shirt size: xs,s,m,l,xl
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Are you a graduate of Firebrand School of Discipleship and Ministry Class of 2024?
Yes
No
How did you hear about Firebrand ?
*
Please Select
Social Media
Youtube
In- person
Friend
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Church/Spiritual Background
Have you accepted Jesus?
*
Yes
No
I don't know
Share your testimony
*
Have you been baptized?
*
Yes
No
Are you currently a member/attending a church?
Yes
No
Your church name?
Your Pastors name?
Are you currently serving in your local church/faith-based organization?
*
Yes
No
If you are currently serving in your local church/ faith-based organization please explain your role or level of involvement.
Have you had any inner healing or deliverance?
*
Yes
No
If you have had inner healing and deliverence, what ministry/ies did you go through? Share your brief experience with that.
Are you interested in receiving inner healing and/or deliverence?
Yes
No
Serving Opportunities
Are you interested in going on mission trips to different nations?
Yes
No
Are you interested in joining our Dream Team as a volunteer (There will be opportunities for hands on ministry training).
Yes
No
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We are offering Firebrand Kids (Childcare/kids program ages 2 and up). The cost is $20 per child per month and will be included in your monthly invoice. Would you be interested in taking advantage of this program?
Please Select
Yes
No
If you selected yes please fill out the next portion of the application.
How many children would you like to register?
Name of child #1
First Name
Last Name
Age
Name of child #2
First Name
Last Name
Age
Name of child #3
First Name
Last Name
Age
Name of child #4
First Name
Last Name
Age
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Emergency Info
Person 1
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Relationship
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Registration Fee Terms for Firebrand School
The suggested donation for Firebrand School of Discipleship is $75 Registration and $900 Tuition + (card processing fee). The $75 Registration is non-refundable. Class materials (books and skool community) are an additional cost.
Registration will lock in your spot in Firebrand School Class of 2024-2025.
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( X )
Registration Fee
$
75.00
Credit Card
Please Choose from one of the suggested donation plans below: (You will receive an invoice for the choice below)
*
Monthly Tuition ($105 per MONTH for 9 months *includes card processing fee)
Annual Tuition (ONE time payment) 10% off of $900 plus $35 card processing fee
By signing below, I agree with and understand the Terms of Firebrand School Fees (see above).
Submit
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