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UBC New Disciple Connect Form
We look forward to connecting with you. Click Start below.
8
Questions
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1
Please tell us your name.
*
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First Name
Last Name
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2
Age Range
*
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Child/Youth
Adult
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3
What is your email address?
*
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example@example.com
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4
Parent's Name
*
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First Name
Last Name
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5
Parent's Email
*
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example@example.com
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6
Parent's Phone Number
*
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Please enter a valid phone number.
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7
What is your phone number?
*
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Please enter a valid phone number.
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8
Tell us More About Your Interests:
*
This field is required.
I'm a first time guest.
I want to learn more about starting a relationship with Jesus Christ.
I'm seeking membership at Union Baptist Church.
I want to learn more about Baptism.
I need prayer, please have a Prayer Partner contact me.
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