I surrender to Christ

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Thank you for making a decision for Christ. Kindly fill out this form to help us follow up with you with love and prayers.
Please be informed that the information provided to the House of David will be kept in accordance to the Canadian privacy act.

The date you made the decision *

YYYY

First Name *

Last Name *

Gender *

Female

Male

Address *

Cell Phone number *

Home Phone number

Email *

My Decision Today *

I have received Jesus Christ as my Lord and Savior

I have rededicated my life to Jesus Christ

I am restored from Backsliding

I will like Special Prayers

Required

Here is my prayer request:

Privacy Statement

As a Canadian non-profit organization, we are committed to abiding by the Privacy and FOIP act. Information collected via this form will be used for the sole purpose of keeping membership records and communicating with members and new partners of the church. Your information will not be sold or shared with any third-party unless where required by law.

We take the responsibility to safeguard your personal information, as required by the Privacy Act, very seriously, and therefore ask that you do not include sensitive personal information (such as your social insurance number, medical status, or details about your finances) in your message.

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