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Grove Life Registration
Thank you for your interest in Grove Life. We look forward to meeting you!
6
Questions
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1
Full Name
*
This field is required.
Please include your first and last name.
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2
E-mail
*
This field is required.
example@gmail.com
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3
Phone Number
*
This field is required.
Area Code
Phone Number
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4
Are you an active member of another church?
*
This field is required.
YES
NO
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5
Names and D.O.B. of all attendees
Please use this section list the names and date of birth of everyone who will be joining the Grove Life Luncheon. You may skip this section if you are the only one attending.
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6
Message
Use this section to ask any questions or express any concerns you may have before we contact you.
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