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Name

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Date

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Gender

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Male Female

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I am a first time guest

Spouse Name (if applicable)

Address

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This is a new address

Phone

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Spouse Phone

Email

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Spouse Email

I WOULD LIKE TO GET INVOLVED

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I would like to join the church family I would like to join a Life Group I would like to serve on a team

I AM MAKING A DECISION TODAY

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I am committing to follow Christ I am renewing my committment I want to be baptized

OTHER

Prayer requests, questions, comments, etc.

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