Prairie Avenue Attendance Registration

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Please Register your Attendance

First Name: *

Last Name: *

Email: *

Retype Email: *

Please tell us about yourself (check all that apply) *

Prairie Avenue is my home church.

I regularly attend another church.

This is my first time to worship with Prairie Avenue.

I am searching for a church home.

Required

Address:

City:

State:

ZIP/Postal Code:

Phone Number {xxx-xxx-xxxx}

I am worshipping:

By Myself

With Others

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