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Fill out this form to get better connected to the ministry of Christ Church.
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Is this your first time filling out our Connect Card?
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2
Your Name
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First Name
Last Name
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3
Your Email
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What Is Your Phone Number?
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5
Where do you live?
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This will help us connect you with local ministries.
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United States
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6
Do you have any children under 18?
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7
List your children's names and birthdates
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Ex: Madison Smith, 04/04/2015
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8
Please list your children's names and ages.
Ex: Madison - age 6. Tyler - age 4
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9
How did you attend worship at Christ Church?
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I attend Christ Church Fairview Heights Campus
I attend Christ Church Collinsville/Maryville Campus
I attend Christ Church Scott Campus
I watch on Facebook
I watch on Youtube
I watch on the Church Online Platform
I watch on my TV through the Boxcast App
I attend Christ Church Fairview Heights Campus
I attend Christ Church Collinsville/Maryville Campus
I attend Christ Church Scott Campus
I watch on Facebook
I watch on Youtube
I watch on the Church Online Platform
I watch on my TV through the Boxcast App
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10
How many are watching with you?
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11
How did you find out about Christ Church?
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12
Do you have any questions for us?
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13
Please verify that you are human
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