FULL NAME
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First Name
Last Name
PHONE NUMBER
*
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Area Code
Phone Number
E-MAIL
*
BIRTHDAY
*
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Month
-
Day
Year
Date
GENDER
*
Female
Male
WHAT ARE YOU INTERESTED IN?
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Local Outreach
Missions
LOCAL OUTREACH (select any that interest you)
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Delivering Lunch Bags for Kids (Serving Our Kids)
Supporting Women Through Pregnancy (Women's Medical Center)
Sewing/Crochet for People in Need (Helping Hands)
Foster Care Support by Babysitting, Meal Trains, or Fostering (Olive Crest)
Sports Adult Men's Basketball (Outreachlvsports)
Helping Women Who Are Victims of Human Trafficking or Sexual Exploitation (Refuge for Women)
Prison Ministry Mentoring (Hope for Prisoners)
CCSD Reading to Kids Once a Week (Spread the Word Nevada)
I am passionate about a Local Outreach that's not listed
MISSIONS (select any that interest you)
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Going on a Mission Trip
I am interested in financially supporting a Missions Trip
I am passionate about a Global Mission that's not listed
ANY SPECIAL GIFTS?
Graphic Designer
Social Media
Photographer
Videographer
Other
QUESTIONS
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