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First Name
Last Name
Email
Phone
City
State
Street Address
Zip code
Organization/Church/Company
Name of Church you attend
What is you position in your Organization?
Business owner
Lead Pastor
Co-Pastor/ Ministry Pastor
Elder / Deacon
Church Staff
Principal / Academy CEO
School Teacher
Kids Ministry Director
Kids Ministry Staff / Help
Education Advocate
Private Tutor
Homeschool Parent
non-homeschool parent
Education Goverment Worker
other
How did you hear about us?
Sam Sorbo Youtube
Sam Sorbo Facebook
Sam Sorbo TV show
Sam Sorbo Instagram
Facebook AD (different page)
Che Ahn
Brad Dacus
Rebecca Friedrichs
Theresa Dedmon
Brad Reese
Google search
A friend
My Pastor
Church staff/ church member
church announcement
other (specify in comments area)
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