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Name(s)
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Your answer
When did you start attending at 1st Congregational UCC Dubuque?
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Your answer
What is your religious background?
Your answer
Could you share a few sentences about yourself so that we can introduce you in the church?
*
Your answer
Do you have any special interests in volunteering?
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Address
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Phone number(s)
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Your answer
Email (s)
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Preferred method of contact
Phone
Email
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Birthdate(s)
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Your answer
Wedding Anniversary date
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DD
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YYYY
Are you a new to the Dubuque area?
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No
If you are new to that area, where did you previously reside?
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Have you attended a newcomer meeting with Pastor?
*
Yes
No
Children/Family Members in household
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Children (s)
Birthdate
Your answer
Children(s) Baptism Year
Your answer
Children (s) Confirmation Year
Your answer
What is the best date for you to join the church?
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DD
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