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Name*

How have you been a blessing to your friends, family or neighbours?*

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How can we pray for you?*

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How can we pray for you?*

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First Name *

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Location
In Person ServiceOnline ServiceOther

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First line of address

Postcode

First Name *

Last Name *

New To Church
YesNo

Location
In Person ServiceOnline ServiceOther

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First Name *

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Reason For Visiting Discovery Kids
VisitorNew ParentInterested in ServingOther

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First Name *

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Interest
Mental HealthCrime and SafetyPoverty and DisadvantageHomelessnessOther

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Why do you want to contact us today?
I Want To ConnectI Need PrayerI Want To Say ThanksI Need Pastoral Support

Your message (optional)

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Class
MembershipMaturityMinistryMission

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Team
ConnectionsCommunityProductionChurch OnlineWorshipPastoral CareYouthChildrenFirst ImpressionsHospitalityDiscipleship

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First Name *

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Type Of Group
No PreferenceAdultsLadiesMenSinglesOther

Weekday
No PreferenceMondayTuesdayWednesdayThursdayFridaySaturdaySunday

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Phone *

First Name *

Last Name *

Group
Adults (Men and Women)Men OnlyWomen only

Day
MondayTuesdayWednesdayThursdayFridaySaturdaySunday

Time
Any TimeMorningAfternoonEvening

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