Celebrate Recovery - West

To list some details of your Ministry and/or put a link to your Ministry, we need your permission and the following Form filled in as completely as possible.

This is A New Listing, giving Celebrate Recovery permission to publish

What was your Celebrate Recovery start up date?

How did you hear about Celebrate Recovery?

Are you exclusively using the Celebrate Recovery materials, including the leaders guide, participant guides, and life recovery bible? And are all of your small groups gender specific?
		Yes No

Are you using the basic Celebrate Recovery format for the large group and small groups, including reading the guidelines at the beginning of each small group meeting?
		Yes No

Your Name (giving us permission to publish), as the Ministry Leader or Main Contact:
First Name:
Last Name:

Email Address you would want listed in a database and/or posted on the web site


Your Church or Organization Name:


Complete phone number that you would want listed in the database and/or posted on web site:
	( ) - ext.

Meeting Location-
Address:
City:
State:	Zip Code:

Meeting Details-
Day :
Start Time:	AM PM
End Time:	AM PM

Web Site Link, if you would like it listed on the site: (http://www.celebraterecovery-we.com)


Please check all that apply to your meeting:
	Your Current Selections: Dinner Large Group Coed Small Groups Men's Small Groups Women's Small Groups Step Study Group Solid Rock Cafe Precovery Life Hurts God Heals Childcare Available

* With Your complete information on file in our database, we will:

	Make the information available as people call or write in looking for a Celebrate Recovery type ministry in their area. List your city on the web site, if not there already. Post link and complete information of established Celebrate Recovery type ministries, as we verify them. Post link and complete information to established "hub" ministries, that plant and/or network other Celebrate Recovery type ministries.

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