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welcome

We are glad that you are here. Whether you are visiting us for the first time or you wish to become more involved in the work of Gods kingdom, we invite you fill out this form to help us get to know you better. All questions are optional you can share as much or as little as you are comfortable with.

Your privacy matters. All personal information submitted on the form will be kept strictly confidential and used only for its intended purpose.

1. What is your name? (First and Last, or just First if preferred)

2. Email:

3. How did you hear about us? (Circle one)

Friend/Family

Website

Social Media

Other

Phone:

4. Is this your first time attending a church service?

Yes

5. Are you looking for community, spiritual growth, specific programs (e.g youth, music, bible study), or something else?

6. Would you like to stay connected? (Check all that apply):

Newsletter

Email or SMS Event Updates

Call from staff

7. Interested in any of our ministries? (Check all that apply):

Street Ministry

Kingdom Childrens' Ministry & Programs

Youth Group

Small Groups / Cells

Volunteer Opportunities (Worship, Media, Maintenance or Finance)

8. If you brought children, what are their names and ages? Would you like information about our children's or youth programs?

9. Is there anything you'd like to know about our services, beliefs or community or is there anything you'd like to share with us, or do you have a prayer request we can include in our services?

Thank you! A church staff will reach out to you soon. Have a blessed day.

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CMFI
CITY HARVEST
CHURCH

1-707-331-7017

admin@cmficityharvest.org

428 Mendocino Avenue

Santa Rosa, CA 95401

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