Connect With Restoration Station!
Welcome! We're so glad you're here! Fill out this form as best you can and we will reach out and connect with you as soon as possible!
Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
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Postal / Zip Code
Phone Number
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Please enter a valid phone number.
Email Address
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example@example.com
Date of Birth
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-
Month
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Day
Year
Marital Status
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Single
Married
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I Want to
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Receive Jesus as my Savior for the First time
Reconnect with God
Join Restoration Station
Receive Prayer
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A first time guest
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Age Group
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4-11
12-17
18-25
26-54
55+
Have You Ever Been Baptized?
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No, I'd Like to be Baptized
Yes
Yes, But I'd Like to be Baptized Again
Altar Team Member
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