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Online Connection Card
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Email
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Your email
First Name
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Your answer
Last Name
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Your answer
Pronouns
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Phone Number
Your answer
I am a:
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First Time Visitor
Second Time Visitor
Other:
Please let me know about:
Lifespan Religious Exploration
Choir/Music
Social justice opportunities
Programs for children and youth
Childcare during USSB events
Other:
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What is your age range and those in your household? (We use this information to help direct you to programs and activities that may be of interest to you.)
0-5
6-12
13-18
18-39
39-60
60+
Anything else you want us to know?
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Address Line 1
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Address Line 2
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City
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State
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Zip Code
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