CONNECT CARD
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DATE
*
THIS IS MY
*
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FIRST TIME
SECOND TIME
THIRD TIME
SERVICE YOU ATTEND
*
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9:30 AM
11:30 AM
ONLINE
NAME
*
EMAIL
*
This address will receive a confirmation email
DATE OF BIRTH
*
PHONE
*
SPOUSE'S NAME
DATE OF BIRTH
PHONE
CHILD'S NAME
DATE OF BIRTH
CHILD'S NAME
DATE OF BIRTH
CHILD'S NAME
DATE OF BIRTH
CHILD'S NAME
DATE OF BIRTH
HOW DID YOU HEAR ABOUT US?
*
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FRIEND / RELATIVE
GOOGLE
SOCIAL MEDIA
OUTREACH
OTHER
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