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HERITAGE CHURCH

Thank you for being with us here at Heritage! Please take a moment to fill out this form to help us get to know you and your family better!

Everyone has a story, and that story starts with your name!

First & Last Name(Required)

Your Email(Required)

Address: City/State/Zip(Required)

Phone(Required)

Spouse Name

Spouse Email

Spouse Cell

Is this your 1st, 2nd or 3rd time being with us?(Required)

1st

2nd

3rd

Please indicate you age group. (Required)

Please list your marital status if applied.

Name of Children living at home and their Birthdays.

My decision today:

I'm making a first-time commitment to Christ

I desire to be water baptized

I'm renewing my commitment to Christ

I'd like to talk to a Pastor

First Time Newcomer