Church Registration for Church Renewal Journey Weekends
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Application for a Church Renewal Journey Weekend

* Username
* Password

Church Information:

Please enter church name and email address here. This information will be kept strictly private. Note that the * means a required field.

* Church Name
* Church Street Address
* Church City
* State/Prov.
   -   -   Church Phone
* Church or Coordinator's Email Address
   Church Website

   Sunday School Start Time
   Worship Service Start Time
   Sunday Evening Worship Start Time
   Wednesday Night Service Start Time

   Baptist Association
   Association Director (DOM) Name
   Association Director Email
   Name (or initials) of State Baptist Convention

This application is being filled out by:
If not the pastor, what is your position at the church?
How did you first hear about the Church Renewal Journey?
Notice to Pastor,
You can submit an application for an Overview of the Church Renewal Journey and decide which of the Renewal Weekends would be best for your church after the Overview Presentation. There is no cost or obligation to request an Overview Presentation for your staff and/or congregation.

After filling in the Church's Information and Pastor's Information, scroll down and fill in the questions below the Overview Application Tab.

Remember to click on the "Submit Application" tab at the bottom, when completed. A Renewal Consultant will contact you.

For any questions, call 980-722-4777.

Pastor Information:

* Pastor's Name
   Pastor Title
   Pastor Position
   Pastor Email
  Pastor's Cell Phone Number
   - -
   Cell Phone Carrier

(Optional:) Upload a photo of the pastor:

Optional Pastor Information:

   Number of Years in Ministry as Pastor
   Number of Years as Pastor at this Church
   Pastor Birthdate
   Wedding Anniversary
   Pastor Spouse Name
   Pastor's Spiritual Gift(s)
   Pastor Bi-Vocational?

  Any Past Experience With Renewal Weekends?

Additional Information < Click to Expand

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CRJ Overview Presentation Data

   (OP) If you are already working with a Coordinator or have a preference, put name here   

   (OP) First preferred DATE & TIME for an Overview Presentation   

   (OP) Second Preferred DATE & TIME for Overview Presentation

   (OP) Third Preferred DATE & Time for an Overview Presentation

   (OP) To whom would you like the Overview presented?   

   (OP) How many are expected to attend the Overview Presentation

   (OP) Location in Church for Overview Presentation

   (OP) Is a video projector or TV screen and sound system available to plug into?   

   (OP) Average Attendance in Worship

   (OP) Average Adults Attendance in Sunday School

   (OP) Average Youth Attendance in Sunday School

   (OP) Average Children Attendance in Sunday School

   (OP) Average Preschool Attendance in Sunday School

   (OP) If the church decides to schedule a Weekend what 3 possible dates would you prefer   

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