I Said Yes to Jesus
Please complete this form so we can partner with you and help you take the next step in your journey with Jesus!
Name
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Gender
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Please select one option.
Male
Female
Email
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This address will receive a confirmation email
Phone
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Birthdate
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For "Birthdate," please list your birthdate with the year you were born. Don't worry, we only ask for this because we love to celebrate our guests!
Which decision did you make today?
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Please select one option.
I made a decision to follow Jesus for the first time today.
I made a decision to rededicate my life to Jesus.
How can we pray for you?
Submit
Description
Please complete this form so we can partner with you and help you take the next step in your journey with Jesus!
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