{"id":11,"date":"2013-08-16T02:34:58","date_gmt":"2013-08-16T02:34:58","guid":{"rendered":"http:\/\/conqueringthebeast.bullthumper.com\/?p=11"},"modified":"2025-04-25T01:51:59","modified_gmt":"2025-04-25T01:51:59","slug":"conquering-the-beast-enrollment-form","status":"publish","type":"post","link":"https:\/\/www.conqueringthebeast.com\/?p=11","title":{"rendered":"Conquering the Beast Enrollment Form"},"content":{"rendered":"<form id=\"ChronoContact_ctbenrollment\" action=\"http:\/\/www.westernharvestministries.com\/index.php?option=com_chronocontact&amp;task=send&amp;chronoformname=ctbenrollment\" method=\"post\" name=\"ChronoContact_ctbenrollment\">\n<div class=\"form_item\">\n<div class=\"form_element cf_heading\">\n<h1 class=\"cf_text\">Conquering the Beast enrollment form<\/h1>\n<\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_heading\">\n<h3 class=\"cf_text\">Personal<\/h3>\n<\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_textbox\"><label class=\"cf_label\" style=\"width: 150px;\">Firstname<\/label><input class=\"cf_inputbox\" id=\"text_1\" title=\"\" type=\"text\" maxlength=\"150\" name=\"text_1\" size=\"30\" \/><\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_textbox\"><label class=\"cf_label\" style=\"width: 150px;\">Lastname<\/label><input class=\"cf_inputbox required\" id=\"text_2\" title=\"\" type=\"text\" maxlength=\"150\" name=\"text_2\" size=\"30\" \/><\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_textbox\"><label class=\"cf_label\" style=\"width: 150px;\">Rides as<\/label><input class=\"cf_inputbox\" id=\"text_4\" title=\"\" type=\"text\" maxlength=\"150\" name=\"text_4\" size=\"30\" \/><\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_textbox\"><label class=\"cf_label\" style=\"width: 150px;\">Address<\/label><input class=\"cf_inputbox\" id=\"text_5\" title=\"\" type=\"text\" maxlength=\"150\" name=\"text_5\" size=\"30\" \/><\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_textbox\"><label class=\"cf_label\" style=\"width: 150px;\">Street or PO Box<\/label><input class=\"cf_inputbox required\" id=\"text_6\" title=\"\" type=\"text\" maxlength=\"150\" name=\"text_6\" size=\"30\" \/><\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_textbox\"><label class=\"cf_label\" style=\"width: 150px;\">City<\/label><input class=\"cf_inputbox required\" id=\"text_7\" title=\"\" type=\"text\" maxlength=\"150\" name=\"text_7\" size=\"20\" \/><\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_textbox\"><label class=\"cf_label\" style=\"width: 150px;\">State<\/label><input class=\"cf_inputbox required\" id=\"text_10\" title=\"\" type=\"text\" maxlength=\"150\" name=\"text_10\" size=\"2\" \/><\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_textbox\"><label class=\"cf_label\" style=\"width: 150px;\">Home phone<\/label><input class=\"cf_inputbox validate-number\" id=\"text_12\" title=\"\" type=\"text\" maxlength=\"150\" name=\"text_12\" size=\"15\" \/><\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_textbox\"><label class=\"cf_label\" style=\"width: 150px;\">Office phone<\/label><input class=\"cf_inputbox validate-number\" id=\"text_13\" title=\"\" type=\"text\" maxlength=\"150\" name=\"text_13\" size=\"15\" \/><\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_textbox\"><label class=\"cf_label\" style=\"width: 150px;\">Cell phone<\/label><input class=\"cf_inputbox validate-number\" id=\"text_14\" title=\"\" type=\"text\" maxlength=\"150\" name=\"text_14\" size=\"15\" \/><\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_textbox\"><label class=\"cf_label\" style=\"width: 150px;\">E-mail<\/label><input class=\"cf_inputbox validate-email\" id=\"text_15\" title=\"\" type=\"text\" maxlength=\"150\" name=\"text_15\" size=\"30\" \/><\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_heading\">\n<h3 class=\"cf_text\">Experience<\/h3>\n<\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_dropdown\"><label class=\"cf_label\" style=\"width: 150px;\"> Have you ever attended a Bull Riding School?<\/label><select class=\"cf_inputbox validate-selection\" id=\"select_33\" title=\"\" name=\"select_33\" size=\"1\"><option selected=\"selected\" value=\"\">Choose Option<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_textbox\"><label class=\"cf_label\" style=\"width: 150px;\">When?<\/label><input class=\"cf_inputbox\" id=\"text_19\" title=\"\" type=\"text\" maxlength=\"150\" name=\"text_19\" size=\"30\" \/><\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_textbox\"><label class=\"cf_label\" style=\"width: 150px;\">What?<\/label><input class=\"cf_inputbox\" id=\"text_20\" title=\"\" type=\"text\" maxlength=\"150\" name=\"text_20\" size=\"30\" \/><\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_textbox\"><label class=\"cf_label\" style=\"width: 150px;\">Where?<\/label><input class=\"cf_inputbox\" id=\"text_21\" title=\"\" type=\"text\" maxlength=\"150\" name=\"text_21\" size=\"30\" \/><\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_textbox\"><label class=\"cf_label\" style=\"width: 150px;\">Who instructed it?<\/label><input class=\"cf_inputbox\" id=\"text_22\" title=\"\" type=\"text\" maxlength=\"150\" name=\"text_22\" size=\"30\" \/><\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_textbox\"><label class=\"cf_label\" style=\"width: 150px;\">How long have you been riding?<\/label><input class=\"cf_inputbox\" id=\"text_23\" title=\"\" type=\"text\" maxlength=\"150\" name=\"text_23\" size=\"30\" \/><\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_textbox\"><label class=\"cf_label\" style=\"width: 150px;\">What level are you currently riding at?<\/label><input class=\"cf_inputbox\" id=\"text_24\" title=\"\" type=\"text\" maxlength=\"150\" name=\"text_24\" size=\"30\" \/><\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_textbox\"><label class=\"cf_label\" style=\"width: 150px;\">Do you have any memberships?<\/label><input class=\"cf_inputbox\" id=\"text_25\" title=\"\" type=\"text\" maxlength=\"150\" name=\"text_25\" size=\"30\" \/><\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_heading\">\n<h3 class=\"cf_text\">Miscellaneous<\/h3>\n<\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_textbox\"><label class=\"cf_label\" style=\"width: 150px;\">Do you have health insurance?<\/label><input class=\"cf_inputbox\" id=\"text_27\" title=\"\" type=\"text\" maxlength=\"150\" name=\"text_27\" size=\"30\" \/><\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_textbox\"><label class=\"cf_label\" style=\"width: 150px;\">Would you like to learn more about career planning?<\/label><input class=\"cf_inputbox\" id=\"text_28\" title=\"\" type=\"text\" maxlength=\"150\" name=\"text_28\" size=\"30\" \/><\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_textbox\"><label class=\"cf_label\" style=\"width: 150px;\">Are you currently implementing a workout program?<\/label><input class=\"cf_inputbox\" id=\"text_29\" title=\"\" type=\"text\" maxlength=\"150\" name=\"text_29\" size=\"30\" \/><\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_textbox\"><label class=\"cf_label\" style=\"width: 150px;\">Do you regularly practice on both bucking simulators and real bulls?<\/label><input class=\"cf_inputbox\" id=\"text_30\" title=\"\" type=\"text\" maxlength=\"150\" name=\"text_30\" size=\"30\" \/><\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_textarea\"><label class=\"cf_label\" style=\"width: 150px;\">What are a couple of goals you have in mind to learn from the camp?<\/label><textarea class=\"cf_inputbox\" id=\"text_32\" title=\"\" cols=\"30\" name=\"text_32\" rows=\"3\"><\/textarea><\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_textarea\"><label class=\"cf_label\" style=\"width: 150px;\">In your opinion, what will we be help you with the most?<\/label><textarea class=\"cf_inputbox\" id=\"text_33\" title=\"\" cols=\"30\" name=\"text_33\" rows=\"3\"><\/textarea><\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_heading\">\n<h3 class=\"cf_text\">Faith<\/h3>\n<\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_textbox\"><label class=\"cf_label\" style=\"width: 150px;\">Have you ever made a personal decision to receive Jesus as your Lord and Savior?<\/label><input class=\"cf_inputbox\" id=\"text_35\" title=\"\" type=\"text\" maxlength=\"150\" name=\"text_35\" size=\"30\" \/><\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_textbox\"><label class=\"cf_label\" style=\"width: 150px;\">If you were blessed with the opportunity to ride on our tour, with the new CTB Pro Bull Riding League, would you accept?<\/label><input class=\"cf_inputbox\" id=\"text_36\" title=\"\" type=\"text\" maxlength=\"150\" name=\"text_36\" size=\"30\" \/><\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<div class=\"form_item\">\n<div class=\"form_element cf_button\"><input type=\"submit\" name=\"button_32\" value=\"Submit\" \/><\/div>\n<div class=\"cfclear\"><\/div>\n<\/div>\n<p><input type=\"hidden\" name=\"681ef7f532425383f27829f3ac4701be\" value=\"1\" \/> <input type=\"hidden\" name=\"1cf1\" value=\"ac86d31e3001cd4767a38b6b12ca6aef\" \/><\/form>\n<div class=\"chronoform\"><a href=\"http:\/\/www.chronoengine.com\/\">Powered By ChronoForms &#8211; ChronoEngine.com<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Conquering the Beast enrollment form Personal Firstname Lastname Rides as Address Street or PO Box City State Home phone Office phone Cell phone E-mail Experience Have you ever attended a Bull Riding School?Choose OptionYesNo When? What? Where? Who instructed it? How long have you been riding? What level are you currently riding at? Do you have any memberships? Miscellaneous Do you have health insurance? Would you like to learn more about career planning? Are you currently implementing a workout program? [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-11","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Conquering the Beast Enrollment Form - Conquering the Beast Western Harvest Ministries<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/www.conqueringthebeast.com\/?p=11\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Conquering the Beast Enrollment Form - Conquering the Beast Western Harvest Ministries\" \/>\n<meta property=\"og:description\" content=\"Conquering the Beast enrollment form Personal Firstname Lastname Rides as Address Street or PO Box City State Home phone Office phone Cell phone E-mail Experience Have you ever attended a Bull Riding School?Choose OptionYesNo When? 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