Abortion Recovery Leader Registration

Please fill out this form and click submit.

First Name *

Last Name *

Ministry Name *

Email *

Cell Phone *

Ministry Phone

Website

Address *

Study/Retreat physical address: (we do not disclose this information to inquiries, we only use this to be certain of the distance to your study location) *

Do you lead Zoom/Virtual Studies?

Study/Retreat Curricula you use:

When does your next study start?

What training have you received? What year?

Would you like information about Restored Life Abortion Recovery Leader Training?

How long have you been leading abortion recovery ministry?

Do you accept one-on-ones?

Do you also offer abuse recovery?

Do you offer healing from miscarriage?

Are you anchored in a Local Church? Please provide the name of the church

Is there anything else about your ministry you would like to share?

I consent to having my ministry listed on our public map. (Exact address will not be shared) *

I consent

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