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Response Card
Sunday, September 25th Response Card
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* Indicates required question
Name
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Phone
*
Your answer
Email
*
Your answer
Spouse's Name
Your answer
Spouse's Birthdate
MM
/
DD
/
YYYY
Spouse's Phone
Your answer
Spouse's Email
Your answer
Address
Your answer
Children's Names and Birthdates
Your answer
First Time Guest?
*
Yes
No
Active Military?
*
Yes
No
Would You Like to Become a Follower of Jesus Christ?
Yes
No
Clear selection
Who is truly in charge of your life?
Your answer
In what ways have you made Jesus second?
Your answer
How can you make Him first in your life?
Your answer
How Do You Need to Respond to the Preached Word?
Your answer
Do you have any prayer needs today?
Your answer
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