Chicago Outreach

June 9-14, 2025

Disciple-Maker Registration

Disciple Registration


How Beautiful Are the Feet. Lace Up. Make Disciples.

If you plan to be one of the 385 Disciple-Makers and plan to come to the TENT with 3 or more disciples to receive your discipleship supplies, training and FREE Jordans during the Chicago Outreach, please fill out this entire registration, and then, hit submit.

or

If you are looking to be a Disciple, get connected to a Disciple-Maker, receive some discipleship supplies, and FREE Jordans during the Chicago Outreach, please fill out this entire registration, and then, hit submit.


* Fields with a red star are required


We are excited to see you at the Tent - 5230 S Halsted St., Chicago, IL


If you have any questions while filling out the form, please contact

Kevin McIlravy

at kmcilravy@timetorevive.com or 469-232-4385

for assistance.

Role*

What is your role with your group?

Phone

If you do not have an email please enter: none@none.com

Please enter a valid email.

Enter More*

First Time or Add More?

IL
Caret IconCaret symbol
Select
Caret IconCaret symbol
Age*

If you speak another language besides English please select or enter that here.

Select or enter value
Caret IconCaret symbol

Please enter the name of your team leader.


If unknown please enter "?" or "unknown".

If you know your leader's phone number, please enter it.

Phone
Shoe Size*

Please select your shoe size.


Only available sizes are shown based on those already registered.

If your leader's information was pre-filled on this form they have the following time scheduled for you to pick up your discipleship materials and shoes.

Schedule Appointment time for you and your students to pickup discipleship materials and training as well as your shoes. (Each person needs to be present to receive their shoes.)

Appointment Change*

If you need to reschedule your day or time to pickup up discipleship materials and training as well as your shoes please do that here.


(Each person needs to be present to receive their shoes.)


Do you need to change your appointment?

Select
Caret IconCaret symbol
Select
Caret IconCaret symbol
Select
Caret IconCaret symbol
Select
Caret IconCaret symbol
Select
Caret IconCaret symbol
Select
Caret IconCaret symbol

Group Description

In a few sentences or bullet points describe the make up of your group.


Example 1:

My group is made up of teenage boys that are part of a football team I coach.


Example 2:

-couples

-30-35

-open to unknown couples being added to our group

In a few sentences of bullet points give a description of what type of group for discipleship you would like to be a part of if you did not have a leader for your group.


Example 1:

Would like to be with guys my age and are in a similar place with their knowledge of Jesus...I don't much of anything about him.


Example 2:

My wife and I would like to join a group together.

It would be nice if it was near where I live.

We would like to meet on the weekends as well.

Add any information that might be helpful for your group leader.


Example: I just put my faith in Jesus today.

Example: I need help with ___________.

Please enter the names of any disciples in the spaces below, and they will be added to your list.


If you do not have all the information for your students (disciples) you can enter as little or as much information as you have and come back to finish from the link sent to your email.


Scroll down to Submit when you are finished.

Please enter the names and phone numbers of any additional disciples in the spaces below, and they will be added to your list. You may also make changes to the existing information.


Scroll down to Submit when you are finished updating information.

Phone
Disciple #1 Shoe Size

Only available sizes are shown based on those already registered.

Phone
Disciple #2 Shoe Size

Only available sizes are shown based on those already registered.

Phone
Disciple #3 Shoe Size

Only available sizes are shown based on those already registered.

Phone
Disciple #4 Shoe Size

Only available sizes are shown based on those already registered.

Phone
Disciple #5 Shoe Size

Only available sizes are shown based on those already registered.

Phone
Disciple #6 Shoe Size

Only available sizes are shown based on those already registered.

Phone
Disciple #7 Shoe Size

Only available sizes are shown based on those already registered.

Phone
Disciple #8 Shoe Size

Only available sizes are shown based on those already registered.

Phone
Disciple #9 Shoe Size

Only available sizes are shown based on those already registered.

Phone
Disciple #10 Shoe Size

Only available sizes are shown based on those already registered.

Phone
Disciple #11 Shoe Size

Only available sizes are shown based on those already registered.

Phone
Disciple #12 Shoe Size

Only available sizes are shown based on those already registered.

More than 12

Do you have additional disciples to add to your group?

Because you have selected "Yes" a "More than 12 Students (Disciples) Form" link will be sent to your email.


Please use that link to add additional students (disciples). Thank you.

If you have a picture of your list of students (disciples) you are welcome to add it here.

Drag and drop files here or
Privacy Notice|Report Abuse
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.