Restoring Your Heart Group Waitlist
By filling out this form, you are expressing your interest and availability to join a particular RYH group when one becomes available in your area, or online.
Male or Female
Last Name
Your answer
First Name
Your answer
Phone Number
Your answer
Email address
Your answer
Home address
Your answer
Home Church (Name and Location)
Your answer
Preferred Group(s)
Have you participated in a Restoring Your Heart Group in the past?
Yes
No
Processing Pain
Understanding Emotions
Conquering Shame
Preferred Group Time
Preferred Group Day
Preferred Mode
How did you hear about Restoring Your Heart?
Your answer
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