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How you see, is how you live. ™
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Head to Heart Registration
STEP 2 of 3
First Name*
Last Name*
Email*
Phone*
Address 1*
Address 2
City*
State/Province*
Zip*
Country*
Select the course offering you would prefer*
Apr 2021
Sep 2021
Select the course time you would prefer*
7pm EST
7pm PST
11am Hong Kong/Singapore/Taiwan (+16hrs)
In what language do you prefer to speak in your small group?*
English
Cantonese
Mandarin
Choose your video language.*
English
English with Traditional Captions
Would you be interested in facilitating?*
Yes
No
Maybe
Gender*
Female
Male
Ethnicity*
Asian
Black or African American
Hispanic or Latino
Native American
Native Hawaiian or Other Pacific Islander
White or Caucasian
Age Range*
18-20
21-30
31-40
41-50
51-60
61-74
75+
Birthdate (Year is optional e.g. 02/11)*
Occupation or role*
What church do you attend?*
How did you hear about us?*
Email/Newsletter
Friend/Word of Mouth
Church/Ministry
BWGI Event/Seminar
Other
If you were referred, who referred you? We would like to thank them!
After clicking "submit", please fill out the form in Step 3 to complete the registration process.
I have read the above and will complete Step 3*
Please verify your request*
Submit & Proceed to Step 3