Contact and Interest Information
Name (First and Last)
I am interested in...(please check all that apply)
Sumbitting a Prayer Request (Please write out below in the next section)
I would like to talk with someone about my relationship with Jesus
Becoming a member of the CLC
Please change my contact information
Serving at the CLC
Finding a small group
I would like information for Celebrate Recovery
Additional Comments or Prayer Requests
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