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Name:*
Address:*
City:*
Province:*
Postal Code:*
Home Telephone:*
Work Telephone:
Email:*
Marital Status:*
Spouse's Name:
Parent Church Name:
Pastor:
How long have you been attending your church?
Do you have your pastor's approval, (Non TLC Members), for taking courses at The Life Centre?  Yes No
Have you accepted Christ as your personal Saviour?  Yes No
How long have you been a Christian?
Have you been baptized by total immersion in water as an adult?  Yes No
Have you completed any basic Christianity classes?
Why do you want to enroll in LifeTRAINING?
What are your passions and desires for the Kingdom of God?
How did you hear about LifeTRAINING?
(check all that apply)
 Web Bulletin Friend CHRI Radio Pamphlet Other
Which LifeTRAINING programs do you want to enroll in?
(check all that apply)
 Tuesday Nights @Home Training