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 Cohort
Sept '19 - Feb '20
Virtual Meetings using Zoom Service
Prerequisite: The church/leader has already chosen the restart path
Cost $500
Need More Info? Contact us at dan@dying2restart.org

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* 1. Will you be attending 2019 Restart Coaching Cohort?

Yes

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* 2. Your contact info:

First Name

Last Name

Job title

Organization/Church

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 3. What is the current attendance of your church?

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* 4. What topics would you most like to learn about at 2019 Restart Coaching Cohort ?

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* 5. Where do things currently stand in your church in regards to restarting?

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* 6. How would you like to receive additional information about 2019 Restart Coaching Cohort?

Text

Both

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* 7. What days and times would generally be good for a 2 hour web call?

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* 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 Restart
7402 Holly Avenue
Takoma Park, MD 20912