Fill out this form if you:
Want to be discipled by another growing Christian to grow stronger in your faith walk
-OR-
Want to disciple someone who is new in their faith and share your experiences

Discipleship Registration Form

Name*
First Last
Address*
Street Address City State ZIP Code
Phone*
Email*
Enter Email Confirm Email
Best Way to Contact Me*
Marital Status*
How do you want to be involved in discipleship?*
Are you a member of Second Baptist?*
Do you attend a small group at Second?*
What is your occupation?*
What are your hobbies/interests?*
When did you become a Christ-follower?*
I'm interested in becoming a Christ-follower.
- Yes
Ideal Meeting Time - please list preferred day of week and time.*
Are you a student?*
If yes, what is your major/area of study?
Comments/Questions
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Phone
This field is for validation purposes and should be left unchanged.