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Welcome to Church In the Night ( CITN)
You’re not just checking in — you’re checking into purpose. This short form helps us get you into the right tribe, right moment, and right vibe.
14
Questions
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1
Name
First Name
Last Name
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2
Gender
Male
Female
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3
Age Range
18 and below
18-30
30-40
40 and above
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4
Phone Number
Please enter a valid phone number.
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5
Email (Optional)
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6
Instagram Handle ( Optional)
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7
Are you here for the first time?
YES
NO
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8
Circle Interest
Where do you want to grow or heal (Select one.)
Studio Story Circle (Testimony, Trauma, Restoration)
Creative Circle (Artists, Dancers, Designers, etc.)
Builder Circle (Entrepreneurs, visionaries)
Glow Circle (Discipleship, Prayer & Personal growth)
Just Exploring (Wanderers and willing to ask)
Bold & Free (Breaking free from addiction)
Relationship Build ( Singles & Dating couples)
Faith & Finance (Stewardship & Money Maturity)
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9
Creative Gift
How do you express yourself (Select two.)
Dancer
Spoken word artist
Actor
Musician
Designer
Media
Fashion
DJ/Sound
Writer
Still figuring out
Other
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10
If other, kindly input your reply here.
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11
Spiritual Need
Where is your soul tonight (Select one.)
Just Exploring— Curious. Watching. Not ready to commit yet.
Craving the Word—Desires to go deeper in Scripture and sound truth.
Need Prayer—Life is heavy. Need someone to agree in faith.
Need Peace—mind racing. Overwhelmed. Needs stillness.
Need Healing – Physical pain or emotional scars. Believing for wholeness
Need Strength – Weary but wants to keep going.
Need Forgiveness – Struggling with guilt. Longing to be free.
Need a Fresh Start – Wants to reset and begin again with God.
Need Protection – Fears, danger, spiritual warfare. Asking for covering.
Other
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12
If other, kindly input your reply here.
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13
Would you like to be baptized soon?
Yes
No
Not yet
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14
Need a ride home
Yes
No
Came prepared
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