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We're excited to hear from you!

I'm new here

I want to update my personal information

Other

First Name

Last Name

Phone Number

Email

Gender

Birthdate

Marital Status

Do you have children in your household?

Yes

No

Ages

0 - 12 yrs

13 - 18 yrs

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

More about me...

I've just decided to follow Jesus

I would like to be water baptized

I want to join a volunteer team

I would like to be part of a small group

How did you hear about The Bend Church?

Friend/Relative

Social Media

Web Search

Other

Anything else you'd like to tell us?

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