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Date
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Name
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Additional family members (if applicable)
Phone
Email
Address
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AA
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AL
AP
AR
AS
AZ
BC
CA
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TN
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VT
WA
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Neighborhood?
*
Please select one option.
Streeterville
River North
South Loop
Gold Coast
Lincoln Park
Lakeview
Wicker Park
North Center
Logan
Humboldt
West Loop
Little Italy/University Village
Bronzeville/Kenwood/Hyde Park
McKinley Park/Bridgeport
Austin/East Garfield Park
Lawndale
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Other
I am a
Please select all that apply.
1st time visitor
2nd time visitor
3rd time visitor
Regular attender
Member
Service attended?
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Please select one option.
9:00 Service
11:00 Service
N/A
Age
Please select all that apply.
18-22
23-29
30s
40s
50+
Current College (if applicable)
I am interested in?
Please select all that apply.
Community Groups
Learning about HTC
Reading the Bible with someone
A call from a Pastor
The Institute
Faith & Work
A call from the Connections Team
Sunday Volunteering
Hospitality / Providing Meals
Music or Audio/Visual Team
Kid City / Nursery
Other
Prayer Requests, comments, and inquiries:
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