CLC
CLC Group Member Registration
Congratulations on accepting to be a part of the CLC Adventure!
Dear Friend,
We are pleased to welcome you into the CLC family! You join a unique group of men who have made a commitment to participate in a ministry that will strengthen you spiritually as well as equip you for leadership in all areas of your life, including your home, church, place of business, and community. You are to be commended for taking the time to meet, study, experience life, and pray with your particular group of men, which will have lifelong benefits for you and your family.
Your group facilitators will guide you through the curriculum, and will be available to answer your questions as you work through the twelve modules. For more information please visit our website at www.christianleadershipconcepts.org or feel free to call the national CLC office in Brentwood, Tennessee, at (615)370-5020.
In His Grip,
Hal Hadden
CLC Founder and President
Name
*
First
Last
Mailing Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
United States
United Kingdom
Australia
Canada
France
New Zealand
India
Brazil
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Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Democratic Republic of the Congo
Republic of the Congo
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Home Phone
*
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-
####
Mobile Phone
*
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-
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-
####
Business Phone
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-
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####
Preferred Email
*
2nd Email
Birth Date
MM
/
DD
/
YYYY
Church Name
*
Group Number (BE SURE you have correct #) Don't just fill in!
(ie: 396n)-No hyphens EX: 490PA
*
You should have received this number from your facilitator.
Co-Facilitator
*
Have you been in a previous CLC group?
*
yes
No
Over-night Kick-off Date
*
MM
/
DD
/
YYYY
Spouse's First Name
Company Name
*
Title
Preferred Method of Contact:
*
E-Mail
Cell Phone
Home Phone
"Snail Mail"
By Completing this form and sending it, you have agreed that after prayer and counsel with your spouse (if applies) , you feel led by God to complete the two-year equipping program and seek to lead for God's glory at home, community, and in your business.
*
I agree
Once you check the box & "submit" this form you will be directed to a Book Ordering page. On this page you will need to enter the 3 codes given to you by your co-facilitator to order your study materials. Thank You!
Do Not Fill This Out