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CBC Real Life Singles Ministry
If you're interested in joining or for more information, please submit this form.
7
Questions
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1
Name:
First Name
Last Name
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2
Single Status:
Single, Never Married
Single, Divorced
Single, Widowded
Single, Never Married
Single, Divorced
Single, Widowded
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3
Email:
example@example.com
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4
Cell Phone Number:
Area Code
Phone Number
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5
Please list up to three topics you would like Real Life Singles to discuss:
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6
Select the type of fellowship activities you are interested in (check all that apply):
Bowling
Movies
Escape Rooms
Top Golf
Restaurant Fellowship
Other (list next)
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7
Other suggested activities:
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