Reborn Interest Form | Restoration Church

Personal Information

Name *

Phone *

Email *

Age

Occupation

Marital Status

Single Married Divorced Widowed

1. Briefly share what experience, if any, you have with the church.

2. Is there anything about your life experiences that you feel comfortable sharing?

Other interests:

2. Would you prefer a mentor closer to your age or someone with more life experience?

Close to my age More life experience No preference

How often could you reasonably connect?

Weekly Every other week Monthly

Preferred meeting times: (Check all that apply)

Weekday Mornings Weekday Evenings Saturdays Sundays Flexible