Reviving the Temple Interest Form

"Reviving the Temple" Interest Form

This form is for church congregations interested in integrating health and fitness into their discipleship groups, small groups, events, and community activities. Latrice’s role is to guide and support your community in developing and implementing this program effectively.
Name and Location of Chuch:*
Lead Pastor Full Name*

First NameLast Name
Lead First Lady Full Name*

First NameLast Name
Ministry Leader POC for coordination and dialogue*

First NameLast Name
POC E-mail*
example@example.com
POC Phone Number*
Average Number of Attendees on Sunday*
Does the congregation have volunteers with certifications selected?*
Do you have extra small space for storage of additional fitness equipment?*
Days of the week best for zoom call to discuss*

MondayTuesdayWednesdayThursdayFridaySaturday
Times of day best for zoom call:*

MorningAfternoonEveningOther
Do you have lead pastors or leaders in ministry at your church that wants FREE online personal training and nutrition coaching? If so, leave name, email, and phone numbers here: *
Type N/A if not applicable
What are some health and fitness projects / ideas you want to implement in your church community? *
Should be Empty:

"Reviving the Temple" Interest Form