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Response Card
Sunday, July 24th 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
Will You Let Go
o
f Everything You Are Holding On To?
Yes
No
Clear selection
Will You Hold Tightly to Christ Alone?
Yes
No
Clear selection
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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