Name *

First Name

Last Name

Parent Cell Phone *

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Discipleship Agreement *

This discipleship program involves at least 10 conversations, and perhaps more, and can take one year to complete (meeting 1-2 per month). At times it involves the student completing an exercise before a meeting as well. Can you, the parent/guardian and student, commit, to the best of your ability, to see this process through to the completion.

Yes, I'm in.