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Let us know a little about you and how we can help you take your next step at The River.
Full Name *
Email *
Phone
How did you hear about us?
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Friend / Family
Social Media
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Event
Other
Address (City, State)
Age Range
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Under 18
18–25
26–35
36–50
51–65
65+
Marital Status
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Single
Married
Engaged
Widowed
Divorced
Spouse's Name (if applicable)
Children (names / ages)
Is this your first visit?
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Yes — first time
2nd or 3rd visit
Regular attender
Date of Visit
Your Faith Journey
Are you a believer in Jesus Christ?
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Yes
No
Still exploring
I'd like to talk to someone
Have you been baptized as a believer?
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Yes
No
I'd like to be baptized
I have questions about baptism
Church Background
Are you coming from another church?
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Yes
No
I haven't attended church regularly
I am interested in…
Joining a small group
Volunteering / Serving
Baptism
Kids ministry
Youth ministry
Prayer team
Learning more about Jesus
Membership / Belonging
Other
Prayer Request
Anything else?
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