Kempsville Church Survey

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Fill out this survey to help Kempsville Church better connect with you as a part of our church family. This information will be used to update church records and help us make plans to better serve our community. Please email kcogoffice@gmail.com with any questions about this survey. Everyone that completes the survey will receive a free gift in September. Thank you so much for participating!

Email *

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Phone Number (Mobile) *

Church Texts

These text messages come from Pastor Frye's phone number. Please select all that apply:

I am currently receiving church text messages

I am NOT currently receiving church text messages

I would like to be ADDED to the church text message list

I would like to be REMOVED from the church text message list

Gender

Female

Male

Clear selection

Birth Date

We would love to make birthday contact to you and suggest ministries based on season of life. (If you feel uncomfortable sharing your birth year, please select 2019)

YYYY

How many people are there in your household/immediate family? *

Please don't forget to include yourself in your count

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