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First Name
Last Name
Gender
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Female
I'd rather not say
Birthdate
Month
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February
March
April
May
June
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September
October
November
December
Date
1
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1912
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1979
Year
1980
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1991
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2000
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2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Email
Phone Number
Preferred Contact Method
Call
Text
Email
What days are you able to meet
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What time of day works best for you
Morning
Afternoon
Evening
Are you open to meeting...
In person
Online
Either
Preferred Meeting Frequency
Weekly
Bi-weekly
Monthly
What do you hope to gain from being in a D-Group?
Have you participated in a discipleship group before?
Yes (please tell us about your experience in the "other" spot below)
No
Other
Please add additional details
I understand this is a 9–12 month commitment to grow spiritually, live on mission, and seek to reproduce as a disciple-maker.
Agree
Other
If other, please explain
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