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Completing the application for Battle for the Heart is the first step toward registration. Registration will be finalized pending the following:

  • Your being placed in a Butler FUMC approved team
  • Our ability to provide an equipped facilitator
  • Space availability at the retreat center

Please fill out the application below.

I understand the above terms and by checking this box I acknowledge my acceptance and would like to continue with my application. I understand that I am committing, to the best of my ability, to attending the entire retreat weekends and faithfully entering into the follow-through process with the intention to complete it.

Checking this box acknowledges the above statement. *
Name *
Name
Address *
Address
Phone *
Phone
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone Number *
Emergency Contact Phone Number
Wellspring Group or Butler First Church may take group or individual photos at the events, meant to be used in social media or marketing. Images will never be sold and can be removed upon request. *