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ONLINE CONNECT CARD
First Name
Last Name
Email
Phone
Is this your first time watching our live stream?
Yes
I have watched several times
I have both watched and attended in person
Your age range
1-12
13-25
26-49
50+
Do you have any children?
No
Yes, I still have children at home
Yes, I have teenagers/young adults still at home
Yes, but they are all on their own now
How did you hear about us?
Friends/Family
Social Media
Other
Is it okay to mail you information about our church?
Yes
No
If yes, please provide address
SUBMIT
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