Kettlebrook Connect Card
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Site Attended:
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West Bend
Jackson
Virtual Gathering
Connecting as:
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Guest
Visitor / Checking Kettlebrook out
Regular Attender
Member
Name
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Date of Birth
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DD
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YYYY
Phone Number
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Email Address
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Spouse's Name, if applicable
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Spouse's Date of Birth, if applicable
MM
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DD
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YYYY
Spouse 's Phone number, if applicable
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Spouse's Email, if applicable
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Name(s) and Age(s) of Children, if applicable:
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Address | City | Zip Code
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I'd like more information about:
Joining a Group
Children's Ministry
Serving at Kettlebrook
Becoming a Member of Kettlebrook
Being Baptized
Being sure of my Faith
Other:
I'd like to talk / meet with a pastor about:
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I have a question or comment about:
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Please pray for:
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Prayer request:
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