Name *

First Name

Last Name

Are you a first time attendee?

If "yes", check the box

First Timer

Cellphone

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Address (If you are a first time attendee):

Address 1

Address 2

City

State/Province

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I prayed with Mike and for the first time I committed to follow Jesus.

Yes!

I prayed with Mike and I recommitted to follow Jesus.

Yes!

I want to learn more about being involved with CFC opportunities:

CFC Study Groups (weekly)

CFC Forum (monthly)

I'm interested in discussing my faith journey. Please have someone contact me.

Yes!

I would like someone to pray with me.

Yes!