New Believer – Love New York 24/7

Messenger 1 Name*

First Last

Messenger 1 Phone*

Messenger 1 Email*

Messenger 2 Name*

First Last

Messenger 2 Email*

Messenger 2 Phone*

Please note: If neither Messenger is willing to disciple the new believer, one of you will be asked to help set up a meeting between the new believer and a substitute disciple maker in order to help transition the relationship.

Which Messenger will take the responsibility of discipling the new believer?

Messenger 1
Messenger 2
Both
Neither

New Believer's Name*

First Last

New Believer's Phone*

New Believer's Email*

What NYC borough does the New Believer live in?

Location where you met the new believer:

Notes (anything else from your initial encounter that is important)

Please check the one that applies:

New Believer
Seeker
Recommitted