Name (Required)

Email Address (Required)

Your Phone Number (Required)

Are you a member of Risen Church? (Required)

How many times a month do you attend Risen? * (Required)

Have you given your life to Christ (are you saved)? (Required)

What is the main challenge as you see it? It is very important to give all details here. Being vague will prolong the time in getting an appointment for a Solution Session. (Required)

What have you tried so far to help resolve your situation? (Required)