Impact Community
A Rethink Church Event
Hands Across the City
A Metro Ministry Celebration
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Contact Information
First Name:
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Last Name:
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Email:
Phone:
Cell Phone:
Special Skills or Needs:
Primary language spoken:
Name of Church I Attend:
Additional Information
Order Vegeterian Lunch:
Yes
Order Box Lunch:
Yes
I Would Like a Free T-Shirt:
Yes
T-Shirt Size:
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SM
MD
LG
XL
XXL
3XL
4XL
How Did You Hear About This Event?:
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My Local Church
Friend Invitation
TV Ad
Radio Ad
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Online Ad
Newspaper Ad
Direct Mail
Email
Social Media
Bus Ad
Other
Age:
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18-34
35-49
50-64
65+
Impact Event Name:
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Your Interest Area
Impact Community
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I certify that I am 18 years of age.
I would like to receive Event Day Updates!
By clicking submit, I certify that I am at least 18 years of age. Anyone under the age of 18 must be accompanied by a parent or guardian at all times during the event day in order to participate. Medical and photo release forms must be signed by all volunteers before participation begins. Forms will be provided at the event sign-in area.
Special Needs:
If you have physical limitations, your contribution is still very valuable to us. Please list any special needs you would like us to be aware of in the box provided above.
Special Skills:
If you have any special skills specific to this event, please let us know so we can place you where your skills are most needed. Please list skills in the box provided above.