CONNECT • City Blessing Church

CONNECT

Welcome to City Blessing Church

We would love to connect with you!

Please take a moment to fill out these questions in order for us to serve you better.

Today's Date

1st Church Attend Date *

Name

First Name *

Last Name *

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Seniors (65 above)

Young Adults (20-29)

Adults (Specify below)

Adults 19-25

Adults 26-33

Adults 34-40

Adults 41-54

Adults 55-64

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Children

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Mobile Number *

Home Address

Home City *

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I'm NEW to City Blessing Church

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I'd like to know more about Jesus, baptism, growing in faith, etc.

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