Spirit Connection Application

Spirit Connection Application
Holy Spirit-Led Inner Healing
Workshop Date/Location:*
Please choose the appropriate category:*

Married - Spirit Connection Survey
Husbands and wives, please fill out the information below together.
I submit this application with a desire to give myself as completely as I can to the Lord, to my marriage, and to the people in my small group for the duration of this training. I will participate to the best of my ability following the leading of Holy Spirit. I understand that my spouse and I may be asked to come up front for a Spirit Connection led by the workshop facilitators during this training time. I also understand that participation at this training does not qualify me to lead a workshop.*

HusbandWife
His Name:*

First NameLast Name
His Cell Phone:*

Area CodePhone Number
His Email:*
His Age:*
His Birth Date*

MonthDayYear
Date
Her Name:*

First NameLast Name
Her Cell Phone:*

Area CodePhone Number
Her Email:*
Her Age:*
Her Birth Date*

MonthDayYear
Date
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone:*

Area CodePhone Number
Preferred Contact Email:*
Singles - Spirit Connection Survey
I submit this application with a desire to give myself as completely as I can to the Lord and to the people in my small group for the duration of this training. I will participate to the best of my ability following the leading of Holy Spirit. I understand that I may be asked to come up front for a Spirit Connection led by the workshop facilitators during this training time. I also understand that participation at this training does not qualify me to lead a workshop.*

I Agree
Full Name:*

First NameLast Name
Phone Number:*

Area CodePhone Number
E-mail:*
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Sex:*
Age:*
Birth Date*

MonthDayYear
Date
Years Married:*
*If you have been married less than 1 year, please indicate the number of months or weeks you have been married and include the word 'months' or 'weeks'.
Do you have any children?*

YesNo
Please provide us with the ages of your children:
Please share with us why your spouse won't be able to attend this event:*

Married - Spirit Connection Survey

Singles - Spirit Connection Survey