New Hearts Outreach, Soli Deo Gloria International, Inc.
Secure Online Form

Hope for Wholeness Registration Form

Hope for Wholeness is a 17-week DVD curriculum providing teaching, worship, confession, and small-group sharing. It is appropriate for those whose lives are impacted by same-sex attraction and also pastors, counselors and ministry leaders. Please fill out the following form in order to register at any time. Then, one of our staff will contact you within 2-3 business days in order to schedule a confidential intake interview. Former clients do not need an intake interview; they need only to register.

Open Registration. Enter at any time.

Classes held at the
Tampa Underground Church
1300 E 7th Ave
Tampa, FL 33605


Date

Last Name First Name MI

Address Apt/Unit

City State Zip Code

Phone () -

Email


Cost of Tuition: $150

(Program Notebook Provided)

Please choose one of the following payment options:

1. Pay the full amount of tuition ($150) upon registration

2. Pay a deposit of $50 upon registration and $50 per month for the next two months.

Please choose one of the following payment methods:

1. Pay now online by clicking here and scrolling down to the bottom of the page where you can submit a one-time amount.

2. Pay by check made payable to New Hearts Outreach and mail to New Hearts Outreach, PO Box 75231, Tampa, FL 33675.

I agree to pay the balance of tuition in full whether or not I complete the series.