Informational Session Registration & Interest Form
Fill out the form carefully for registration
Full Name
First Name
Last Name
Age (optional)
E-mail
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Gender
Please Select
Male
Female
N/A
Address
Street Address Line 2
City
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Rhode Island
South Carolina
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Tennessee
Texas
Utah
Vermont
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Washington
West Virginia
Wisconsin
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State
Zip Code
Church/Home Ministry
What about this formation space resonated with you most?
Dance/Movement
Prayer/Intercession
Both
Other
In your own words, what is intercession?
How would you describe your history with dance/movement?
What areas do you feel the Lord is currently cultivating and/or conditioning in you?
This cohort is centered on intentionality, consistency, reflection, and participation. Are you willing to commit to engaging fully in the process?
Yes
No
I'd like to learn more first
Will you be able to commit to virtual bi-weekly gatherings and developmental work outside of virtual sessions? (From June-October)
Yes
No
Would you like to receive updates regarding future gatherings, sessions, and cohort information?
Yes
No
Safe Space: Anything you'd like me to know about you as you consider participating in this developmental space?
I'm glad you're here!
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