Training & Equipping Event Request Contact A Crossroads Team Member Name* First Last Email* Work PhoneMobile or Home PhoneChurch or Organization Job Title Website Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code What type of event are you interested in scheduling?* Enneagram Seminar or Retreat Leadership Experiences Seminar or Retreat Spiritual Direction Individual Sessions Spiritual Direction Group Sessions Other (describe below) Other event descriptionDate - 1st Choice* MM slash DD slash YYYY Date - 2nd Choice* MM slash DD slash YYYY Date - 3rd Choice MM slash DD slash YYYY Where do you plan to hold the event? (e.g. church, hotel, etc.)* Venue CapacityExpected Attendance*Please list any church or groups that will be co-sponsoring this event with you.What is the nearest major airport?* What is the driving time/mileage from the airport to the event site?* CommentsCAPTCHA
