RCCG Solid Rock Derby Decision Card Form

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RCCG Solid Rock Derby Decision Card Form

Following Jesus Wherever We Are!

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* Indicates required question

Email *

Your email

First Name *

Your answer

Last Name *

Your answer

Gender *

Male

Female

Date of Birth (MM-DD-YYYY) *

MM

/

DD

/

YYYY

Phone Number *

Your answer

Do you attend Church? If YES, What is the name? If NO, Do you want to join us? *

Your answer

What are some of your talents and/or giftings? *

Your answer

Prayer Request(s)? *

Your answer

Are you a born again Christian? *

Yes

No

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