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Welcome to our church! We're glad you're here. Our team would love to serve you and help you get connected.
First Name
Last Name
Email
Phone Number
Date of birth
Month
January
February
March
April
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June
July
August
September
October
November
December
Date
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1912
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1979
Year
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1991
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2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Address
Apartment, suite, etc.
City
State
Postal / Zip Code
How many times have you visited our church?
This is my first time
A few times
Regular attender
My Decision Today:
I gave my life to Christ for the first time.
I am recommitting my life to Jesus.
I would like to learn more about (check all that apply):
Baptism
Volunteering
Children's Ministry
Youth Ministry
Life Groups
Jesus
How did you hear about us?
Anything else you'd like to share?
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