1Mosaic House Church Sign Up

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Name(s)

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Email

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Phone

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Address

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If you desire to re-commit to your previous House Church select the appropriate Shepherd(s).

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Bills' Kruse's Smith's Isley's/Shipman's Salisbury's Crist's Rupp's (Siefert's)

If you are new to House Churches or would like to explore a new House Church, indicate your first choice here.

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Bills Option

What days of the week do NOT work for you?

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Sunday Monday Tuesday Wednesday Thursday Friday Saturday Any day works

How far are you willing to travel?

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0-5 miles 5-10 miles 10-15 miles To the heavens and back!

Is there a certain focus you desire for this year? i.e. Marriage, Family & Parenting, growing deeper in your faith, etc.?

Some of our House Churches provide shared childcare while some do not. Do you need childcare?

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Yes No Helpful but not required

Are there any other needs, comments, or questions you have for us?

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