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| i Y | digital connect card

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Is this your first visit to iY? *

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Did you decide to follow Jesus at iY? *

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Have you been baptized? *

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Are you interested in joining a ministry team? *

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Name *

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Last

Phone Number *

Cell Phone Provider *

Email *

Your T-Shirt Size *

Parent's Name *

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Last

Parent's Phone Number *

Parent's Email *

Your Address *

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City

State

Zip Code

Country

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