behold-form - HeartBeat

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Full Name

Phone #*

Gender*

Marital Status*

DOB*

Age *

Upload Portrait Picture*

Please upload a portrait picture of yourself with a white background *Photo must be unfiltered, no shared, glasses, or hats

Preferred Email

Cell phone #*

Can we text you?*

Street address

City *

State *

Zip Code*

Country*

Would you need housing? *

Nationality: We will be having two outreach locations in order to accommodate individuals who need to stay in the U.S. For individuals who can travel outside of the U.S. please include your passport for travel purposes.

What is your country of birth?

If you are a U.S. Citizen, please include your U.S. Passport Expiration Date

Month (passport expiration)

Year (passport expiration)

Upload Passport

Please upload a clear picture of your passport to verify that it will be valid at least 6 months after our outreach date (February 2027)

Health

Do you currently have health insurance?*

Do you have any medical, dietary restrictions, or other limitations that might affect your level of participation in this school?

Upload (insurance card if applciable)

Please upload a picture of your health insurance (if applicable).

Personal Information:

Have you ever been arrested, charged and/or convicted of any crime? If yes, please describe below:

Have you ever been involved in witchcraft, drug or alcohol abuse, or the occult? If yes, please describe below:

Finances

Behold: Prepare the Way will be taking place from June 15-July 22, 2026 at our Heartbeat Prayer Room + an Outreach Location.

Housing & Meals

You will have to provide your own housing and meals from June 15-July 4 and July 18-July 22.

Cost Structure

The cost of the Missions Experience will be divided into two phases. The Prayer Room Phase will include light snacks, materials, and ministry expenses. The Travel Phase will include airfare, outreach housing, outreach meals, and ministry expenses.

Prayer Room Phase $700

Travel Phase $1,500 - 2,500*

*This will depend on location. Fundraising Coaching will be provided.

Payment Plan

Prayer Room Phase of $700 due by April 15

Travel Phase of $2,500 due by May 15*

Refund Policy: If your outreach location is less, you will be refunded the difference.

Accept*

Yes

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