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Digital Connection Card
Fill this out in its entirety! This is our way to connect with you!
Your name
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Last name
Email address
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Please select if applicable:
This is my first time at Life Church
I have a prayer request
Phone number
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Phone type
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Gender
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Male
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Marital status
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Single
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Birthday
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Date
Address
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Home
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Country
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Street address
Apt/unit/box (optional)
City
State
Postal code
My Decisions Today
I am committing my life to Jesus
I am renewing my commitment to Jesus
I want to be water Baptized
I would like for someone from the Pastoral Team to reach out to me
I want to get connected
Other
Primary campus
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Hanceville Campus
Hartselle Campus
Prayer Requests
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