Event Registration Thank you for your interest in attending the Dying to Restart 2019 Restart Coaching Cohort. Please fill out this survey to get registered.Six Month CohortSept '19 - Feb '20Virtual Meetings using Zoom ServicePrerequisite: The church/leader has already chosen the restart pathCost $500Need More Info? Contact us at dan@dying2restart.org Question Title * 1. Will you be attending 2019 Restart Coaching Cohort? Yes No Question Title * 2. Your contact info: First Name Last Name Job title Organization/Church City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Country Email Address Phone Number Question Title * 3. What is the current attendance of your church? Question Title * 4. What topics would you most like to learn about at 2019 Restart Coaching Cohort ? Question Title * 5. Where do things currently stand in your church in regards to restarting? Question Title * 6. How would you like to receive additional information about 2019 Restart Coaching Cohort? Text Email Both Question Title * 7. What days and times would generally be good for a 2 hour web call? Question Title * 8. Are you certain your church is ready to restart or do you see the need to still process the options? I know we are ready. I'm not sure we are ready. We are looking at other options as well. After you submit this application, you will hear from us soon. After you receive a verification for the cohort, payment can be submitted by sending a check to the address below. Payable to: Dying to Restart7402 Holly AvenueTakoma Park, MD 20912 Done