Discipleship Check-In

Name*
First Last
Email*
Phone*
What's your role at your church?*
- Christian Educator/Volunteer
- Children's Minister/Volunteer
- Youth Leaders/Worker/Minister
- Pastor/Assoc. Pastor
- Other
Name of Church*

Please include name of town if your church is named First CPC, etc.
Code of Conduct Consent*

By checking off the box I acknowledge that information provided in this form is accurate. I agree not to share any links or codes given to me by host online, by email, or phone. These codes are for my personal access to come to Discipleship Check In. I agree to abide by rules instructed by host and that I agree to participate in the ways instructed. I consent to have my image captured and consent to recording.
Email
This field is for validation purposes and should be left unchanged.