LIFE GROUPS
LIFE GROUPS: REGISTRATION
First Name *
Last Name *
Age Range
18-24
25-34
35-44
45-54
55-64
65+
Gender
Male
Female
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Phone *
(Best number to reach you)
Email *
Address
Country
United States
Canada
Other
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Do you regularly attend worship services at CMJacksboro?
Yes
No
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If yes, when did you start attending?*
(approx. date)
Marital Status
Single
Married
Divorced
Widowed
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If married, what is your spouse's name?
Do you have children?
REGISTER
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