We would like to keep in touch with you

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Name*

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Email address

Phone*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

I would like my name/number to be added to the church messaging application via Flocknote to receive important and vital Church correspondence.

Yes

Only Day and Month of Birth so we can celebrate your birthday (optional)

I would like my name/number to be added to the church WhatsApp group

Yes

Family members below the age 12, Only Day and Month of birth so we can celebrate their birthday as well. (optional)

Wedding Anniversary (optional)