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Thank you for joining us at Word of Life. We look forward to getting to know you and your family.
Your name
*
Last name
Email address
*
Phone Number
*
Phone type
Mobile
Home
Work
Other
Address
Home
Work
Other
Country
Country
Street address
Apt/unit/box (optional)
City
State
Postal code
Gender
*
Select…
Male
Female
Your Date of Birth
Date
Relationship to the Child(ren)
*
(mother, father, grandmother, grandfather, guardian etc)
Please Add Adults & Children in Your Household Below:
Household members
+ Add adult
+ Add child
Other Information you would like to share?
Grade
Select…
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Preferred method of communication
Phone Call
Email
Which Service did you attend this weekend?
8:30am
10:15am
12pm
How did you hear about us?
Drive-By
Social Media
Family/Friend
I'm interested to find out about
Salvation (having a relationship with Jesus)
Discipleship/Connecting with life groups
I want to serve
Worship & Prayer Services
Kids Services & Activities
Submit
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