House Church Interest - New Community Church

Names of other adults joining you:

Names and ages of children joining you:

Address

Phone number

Do you have any allergies, request, comments, or needs we should be aware of?

I'm available to attend house church on these days:

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Is there a particular house church you are interested in?

Please write the name of the house church or house church leader.

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