ࡱ> CEBa jbjbA]A] &2+?+?.......d\dh$$$$$$$$"$$$$$$,ReP.$$$$$P..$$e$.$.$"BV....$":v,.. Rk4R l{0 .ddD ddLIFECHANGE: A Breakthrough Seminar APPLICATION FOR FIRST TIME PARTICIPANT The LIFECHANGE Seminar is a three (3) month seminar designed to bring freedom, healing, and spiritual maturity to the life of believers as you establish your life on biblical principals. REGISTRATION FEES (Includes dinner after Sundays Retreat): (Single $65.00 **MARRIED Couples $110.00) (PLEASE PRINT CLEARLY) To be a part of this seminar, please complete the following: Name: Mr.___ Mrs. ___ Ms.___ Dr. ___ LastFirstMIDate of Birth--Address: City and Zip Code: MAKE/COLOR/ LICENSE NUMBER:Vehicle 1 Vehicle 2 Home Phone: Work Phone: Pager/Cell: E-Mail: Marital Status: Single __ Engaged __ Married __ Separated __ Divorced __ Widowed __If married, how many years have you been married? _____ Is your spouse taking LIFECHANGE Seminar with you this session? Yes ___ No ___ Has your spouse taken LIFECHANGE Seminar in the past? Yes __ No __ If yes, when? How would you rate your marriage? Great ___ Want to Grow ___ Need Counsel ___ Considering Separation ___ Now Separated ___Your Salvation Date: Your Water Baptism Date:How is your Spiritual Walk? Excellent___ Good ___ Fair ___ Poor ___What Ministries are you involved in? Do you attend New Hope? Yes___ No___ If No, which church do you attend?Do you attend midweek service or a small group? Yes___ No___ (If yes, which one?)Do you presently have any areas of concern? Yes ___ (Please explain as this may help us in creating groupings): The nature of this seminar is to deal specifically with individual issues, therefore, small groups will be ALL MALE OR ALL FEMALE Why are you taking the LIFECHANGE Seminar? As a FIRST TIME participant taking the LIFECHANGE Seminar, you will be asked to commit to the following: To attend all of the LIFECHANGE sessions including the retreat. To love, support, and pray for your partner on a daily basis. To spend time in daily devotions and prayer in order to develop my relationship with my Lord Jesus Christ. To complete my homework with the goal of transformation and not just completion. To maintain confidentiality on personal things shared by others. I understand that being involved in peoples lives on such an intimate basis is a responsibility, a privilege and a commitment. My desire is for the Holy Spirit to bring restoration and healing to my life and to the lives of others. Unless circumstances arise in which I have no control over, I will commit to complete this seminar for my continued growth in Christ. Signature _____________________________________________ Date ________________________ FOR ADMINISTRATIVE USE ONLY: NOTE: (DEPOSIT OF $25 SINGLES, $50 COUPLES TO RESERVE PLACE) SIGNED UP AS: __Single $65.00 __Married Couple $110.00/Signed up with _______________Relationship_______ Paid by: Cash (Amt) $__________ Check No.______ (Amt) $___________ For Partial Payment (Balance Due) $ __________ Received by: __________________________ Date: __________________ Revised 6/21/06 NOTE: **MARRIED COUPLES WILL RECEIVE 2 MAUAULS AND ONE (1) SET OF BOOKS $4JKOPSTYZ DHNXgr?@A]^V W     # $ ) = > Ρ㡚 hJ.6CJ hJ.5CJ hJ.6CJhJ.56CJ hJ.5 *hJ.5>*CJ hJ.5CJ hJ.>*CJhJ.5>*CJ hJ.CJ hJ.CJ hJ.CJhJ.56>* hJ.6hJ. hJ.CJ :$K  r@AFLO]~uu $$Ifa$fkd$$IfTl\((064 laT$If$xxa$$a$$a$ ]^_`abcdefg`ZZZZZZZZZ$Ifkd$$IfTl\x] \(d 064 laT ghijklmnopqrstuvwxyz{|}~$If) V fkd $$IfTl\((064 laTFf$If V W  pj$IfkdK $$IfTl4F\(t06    4 laf4T   -%x$Iffkd $$IfTlk\((064 laT$Iffkd $$IfTl\((064 laT ] = fkd $$IfTl^\((064 laTx$If$If= > -fkd&$$IfTl\((064 laT$Iffkd $$IfTlb\((064 laT _ -fkd4$$IfTlb\((064 laT$Iffkd$$IfTl\((064 laT _ ` =Sklopu +,HZ^_ahloy|<aη hJ.5CJhJ.56>*CJhJ.56CJhJ.5>*CJ hJ.5 hJ.5CJ hJ.CJ hJ.CJ hJ.CJhJ. hJ.5CJ hJ.CJ hJ.6CJ6_ ` T*h$exx & Fxxfkd$$IfTlb\((064 laT,_`ayw]kdB$$IflH((064 la$If $x$Ifa$ $x$Ifa$x$Ifdh$1h/ =!"#$%$$If!vh5(#v(:V l065(4T$$If!vh5d5 55#v#v#v #vd:V l06555 5d4T$$If!v*h555555555 5 5 5 5 5 555555555555555555 5 !5!"5"#5#$5$%5%&5&'5'(5()5)*#v(*#v'(#v%'#v$%#v#$#v##v#v#v#v#v#v#v#v#v:V l 065(*5'(5%'5$%5#$5#5555555554TkdP$$IfTl ֠*xof]TJA8 / &   xof] T!J"e#\$S%n&e'\(06֨֨֨֨4 laT$$If!vh5(#v(:V l065(4T$$If!vh5t55#v#v#vt:V l406,555t4f4T$$If!vh5(#v(:V l065(4T$$If!vh5(#v(:V lk065(4T$$If!vh5(#v(:V l^065(4T$$If!vh5(#v(:V lb065(4T$$If!vh5(#v(:V l065(4T$$If!vh5(#v(:V l065(4T$$If!vh5(#v(:V lb065(4T$$If!vh5(#v(:V lb065(4T$$If!vh5(#v(:V l065(4H@H Normal CJOJQJ_HaJmH sH tH DA@D Default Paragraph FontVi@V  Table Normal :V 44 la (k(No List 2>@2 Title$a$5\2B@2 Body TextCJ<P@< Body Text 2$a$CJH"H  Balloon TextCJOJQJ^JaJ2 z$K  r@AFLO]^_`abcdefghijklmnopqrstuvwxyz{|}~)VW ]=>  _`T* h $ e ,  _`a0P0P0P0P0P0P0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P0P 0P 0P0P 0P 0P 0P 0P 0P 0P 0P 0P0P0P0P0P 0P 0P 0P 0P 0P 0P0P 0P 0P 0P 0P 0P 0P0P0P0P0P0P0P 0P 0P 0P 0P 0P0P0P0P0P0P0P0P 0P 0P  ]gV  = _   @EJ] T:::CZO%FFh ^`OJQJo(h ^`OJQJo(oh pp^p`OJQJo(h @ @ ^@ `OJQJo(h ^`OJQJo(oh ^`OJQJo(h ^`OJQJo(h ^`OJQJo(oh PP^P`OJQJo(h ^`OJQJo(h ^`OJQJo(oh pp^p`OJQJo(h @ @ ^@ `OJQJo(h ^`OJQJo(oh ^`OJQJo(h ^`OJQJo(h ^`OJQJo(oh PP^P`OJQJo(FC@AFLO]^_`abcdefghijklmnopqrstuvwxyz{|}~)VW=>  _`, `a@\-P @UnknownGTimes New Roman5Symbol3 Arial5 Tahoma? 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