Connect With Us
This form is for anyone who would like to get connected with Shepherd's Gate.
Contact Information
Please provide your contact information below so that we can connect with you and get you information about Shepherd's Gate.
Name
*
Email
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This address will receive a confirmation email
Phone
Address
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Other Information
Age
Please select one option.
Under 18
19-25
26-35
36-45
46-55
Over 55
Marital Status
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Single
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Separated
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Single
Married
Widowed
Divorced
Separated
Gender
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Male
Female
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Male
Female
Children's Names & Ages
Are you currently attending a church?
*
Please select one option.
Yes
No
Are you a member of that church?
*
Please select one option.
Yes
No
I'm not currently attending a church
How did you hear about Shepherd's Gate?
*
Please select all that apply.
Friend/Family
Website
Google
Other
In a few sentences, tell us why you would like to connect with us.
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Submit
Description
This form is for anyone who would like to get connected with Shepherd's Gate.
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