Connect To Renovation Church
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Full Name
First Name*
Last Name*
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Address
Street 1
Street 2
City
State
Zip
mail
Email
Email
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Phone
Phone
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Single Choice
Gender
Male
Female
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Number
Age
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Single Choice
Marital Status
Single
Married
Separated
Divorced
Widowed
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Text Entry
Spouse's Name (if application)
Full Name
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Text Area Entry
Do you have children? If so, please list their names and ages.
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Multiple Choice
Connection
First-time Guest
Visitor
Renovator (member)
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Multiple Choice
I have made a decision...
I accepted Jesus as my Savior.
I rededicated my life to Jesus.
I want to be baptized.
I want to become a member (Renovator).
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Text Area Entry
I have a prayer request...
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Multiple Choice
I would like more information about...
Growth Tracks (Become A Member)
Life Groups (Connect, Grow, Protected)
Serve Teams
Dream Team Huddle
I want to connect with Pastoral Team
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Text Area Entry
Feedback / Questions / Concerns / Other
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Submit Button
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