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Name
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Required
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Email Address
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Required
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Your Phone Number
Will you share your phone number. We will never give out your information without your permission.
Tell us what age group you currently fit into
Middle School (ages 11-14)
High School (ages 15-18)
Young Adult (ages 18-24)
Not Really Young Adult (ages 25-40)
Starting to Push Toward Senior (ages 41-59)
Senior (ages 60-75)
We are in Awe (76 and up)
Allergies or Medical Info
Do you have any allergies are medical needs that it would be a good idea for us to know about?
Birthday
We love celebrating important days with you. Would you tell us your birthday?
January
February
March
April
May
June
July
August
September
October
November
December
Can you share the names and birthdays of the kids in your household?
Anniversary
If you are married, we would also love to honor you on your wedding anniversary!
January
February
March
April
May
June
July
August
September
October
November
December
Your Address
Knowing your mailing address can be really helpful for us to be able to serve you. We will not share this information with anyone without your permission.
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What sort of things interest you?
Home Bible Study (in your home)
Home Bible Study (in someone else's home)
Bible Study at the Church
Getting together regularly for prayer
Meeting new people
One-on-One Discipleship
Planning events and activities
Working with teens
Working with kids
Working with infants & toddlers
Helping foreign missionaries
Working with the homeless or food insecure
Worship team
Tech team
Outdoor gardening & landscaping
Houseplants
Helping the elderly with technology
Assisting people who have physical needs
Fitness & exercise (it doesn't mean you have to be good at it)
Healthy eating (it doesn't mean you have to be good at it)
Drawing or painting (it doesn't mean you have to be good at it)
Photography
Cooking or food preparation (either to share your knowledge & experience or to learn)
Playing board games or card games
Online gaming
Role Playing Games
Watching old movies (like, black & white)
Science fiction
Fantasy (kinda like science fiction, but with dragons & magic)
History
Crime/Suspense
Scary or thrilling
Books
Fishing
Outdoors
Knitting
Crochet
Something else that you're kinda disappointed wasn't on the list
Anything else at all you'd like to tell us?
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