CONNECT CARD

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Name

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Email

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Phone

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Address

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Campus Attended

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In Person Online

Attendance Status

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First Time Guest Regular Attender

Age

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13-18 19-29 30-39 40-54 55+

Marital Status

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Married Single Other

Names/Ages of children living at home:

Prayer Request/Praise Report

How did you hear about us?

I'd like to hear more about:

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Community Groups Growth Track

My Decision Today:

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I am committing my life to Christ I am recommitting my life to Jesus I want to be water baptized

Description

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