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Connection Card, Next Steps and Prayer Requests
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First Name
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Last Name
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Marital Status
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Date of Birth
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Address
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Mobile Phone Number
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Email
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My Decision Today
I am committing my life to Jesus
I am recommitting my life to Jesus
I want to be water baptized by immersion
I would like a pastor to reach out to me
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Prayer Requests
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Prayer Requests
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My Next Step
I am interested in church membership
I am interested in joining a small group
I am interested in serving in a ministry
I am interested in going on a mission trip (domestic or international)
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