Congratulations brother! You have taken a big first step on your journey to freedom.

Next, read the following rules and guidelines very carefully, then answer all the questions below and submit the form.

First Name*

Last Name*

Email address*

Are You a Born-Again Christian?*

Yes

How old are you?*

How long have you known Jesus as your Savior?*

How old were you when you first watched hardcore porn?*

Are you hiding porn from people you love?*

Yes

No

Do you question your salvation?*

Yes

No

Have you had suicidal thoughts?*

Yes

No

Have you tried to quit porn in the past?*

Why do you want to join Bunk 47?*

Have you fully read, and do you agree to adhere to, all of the rules & guidelines of Bunk 47 listed above?*

Yes

We never want to turn anyone away that truly wants help. Our $19.95 monthly fellowship offering is in place to protect the safety of this group, and to encourage men to participate and step out of isolation. Are you able to contribute $19.95/month? If you have an authentic financial harship, we can discuss it during our introduction call.*

Yes, I can

No, I don't have it