Name *

First Name

Last Name

Phone

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Please check all that apply: *

I would like prayer.

I would like to join a Community Group.

I would like marriage counseling.

I would like to explore faith.

I would like to practice the Way of Jesus.

I would like to be baptized.

I would like to learn what it means to be a member.

I would like to get involved in a ministry (i.e. kingdom kids, middle + high school, college, single).

I would like to volunteer.