Booking & Contact Form: Invite Pastor Jeff to Speak
Full Name
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Email
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Contact Number
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Church or Organization Name
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Church Address
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Church Website
Event Name (if applicable)
Proposed Event Date(s)
Event Date 1
Date
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Event Location
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Expected Attendance
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Below 50
51-100
100-200
201-300
301-400
401-500
500-1000
1000+
Event Format
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(Select all that apply)
1-hour workshop
Multi-session seminar (3–4 sessions)
Full conference or summit (6+ sessions)
Sunday morning service
Leadership training
Others (please specify)
Others:
(please specify)
Desired Role
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Keynote Speaker
Workshop Leader
Seminar Instructor
Panel Guest
Other (please specify)
Other:
(please specify)
Audience Type
*
(Select all that apply)
Calvary Chapel
Church Leaders
Men’s Ministry
Women’s Ministry
Marriage / Family
General Congregation
Which topic(s) would you like Pastor Jeff to teach on?
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(Select all that apply)
The Lord is the Counselor
The Sufficiency of Scripture in Soul Care
Discipleship Through Biblical Counseling
The Role of the Holy Spirit in Counseling
Common Counseling Issues: A Biblical Response
Equipping the Church to Counsel
Avoiding the Pitfalls of Pop Psychology in the Pulpit
Growing in Grace (Sanctification)
The Church Jesus Builds (Ecclesiology)
Calvary Chapel Distinctives
Other (suggest a focus)
Other:
Suggest a focus
Additional Notes or Message
Use this for special requests, event themes, travel info, etc.
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