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Registration Form – GoBusiness200/GoLife200

School Application: Year Two Student

School & Curriculum

Bio questions such as birthdate, job description, and extra-curricular activities are included to help our staff get to know you better relationally and to aid in forming optimal Facilitator and group assignments. Thank you for helping us better serve you!

    I am registering for:


    Contact Information:

    First and Last Name (required)

    Your Email (required)






    Home Phone

    Cell Phone

    Work Phone

    Date of Birth (mm/dd/yyyy)

    Your Church:

    Church Name (required)


    Pastor’s Name

    Your Family:

    Spouse’s Name

    Children’s Names

    About You:

    Level of Completed Education



    Business Type/Industry

    Extra-curricular activities

    List 3-4 master principles/teachings from your GoBusiness100 or GoLife100 course that had the deepest impact on your life and state how they were used to change your thinking and subsequently, your behavior.

    Do you already know someone who is a trained Facilitator that you would like to facilitate you? If so, please indicate their name

    Please explain in a 2-3 paragraph essay what you hope to gain from GoBusiness200/GoLife200:

    Student Agreement:
    As a student, I agree to fulfill my responsibilities to the curriculum and to my Facilitator by participating in all required activities and staying accountable to finish my assignments. I also agree to attend an Intensive before beginning the course. For networking purposes, I authorize the release of my email address to fellow Students & Facilitators only.

    PAYMENT: Once your enrollment form is submitted, please complete payment. Your enrollment is not complete until full payment has been made OR you have submitted a Payment Plan and made a deposit.

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