Full Name *

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Are you a member of a church?

YES

NO

If you answered "yes", what is the name of your church?

Are you an active member of Contagious Church or Contagious Connexion?

How did you FIRST hear about the Discipleship Training Institute?

To which course are you applying for admission? *

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Discipleship Training Institute Enrollment Payment *

$ 129

$ 179

$ 1200

$ 1650

Other amount