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Contact Details
Adult 1 Name
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Email address
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Age Range
under 18
18 - 25 years old
25- 40 years old
40 - 65 years old
66- 75 years old
75+ years old
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Single Parent
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Adult 2 Name
Title
First name
Last name
Gender
Female
Male
Age Range
0 - 20
21-35
36-50
51-65
Over 65
Email address
Cell phone
Age Range
under 18
18 - 25 years old
25- 40 years old
40 - 65 years old
66- 75 years old
75+ years old
Marital Status
De facto
Divorced
Engaged
Married
Seperated
Single
Single Parent
Single, previously married
Widow/Widower
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Children
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13
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Address
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Taking the next step
I would like to find out more about becoming a member of Life Church
I would like to find out more about becoming a Christian
I became a Christian today
Congratulations and welcome to God's family. We look forward to helping you grow as a Christian
I rededicated my life to Christ today
That is awesome and we look forward to seeing you grow in your walk with Jesus
I would like to find out more about being water baptised
We have a preparation for baptism course to help you prepare for water baptism
I would like to find out about Life Groups
You can visit our Website to find out more about the Life Groups
I would like to receive newsletters via email
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