Contact Information
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Shiloh Community Church does not give out or sell personal information. Your information is used for communication purposes only.
Name
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Email
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This address will receive a confirmation email
Cell Phone
Home Phone
Address
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Gender
Please select one option.
Male
Female
Date of Birth
Are you new to Shiloh?
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Yes
No
Interested in:
Please select all that apply.
Baptism
Membership
Serving through Volunteering
Baby Dedication
Men's Ministry
Women's Ministry
Shiloh High School Ministry (9th - 12th Grade)
Merge (5th - 8th Grade)
AdventureKids (Birth - 4th Grade)
Celebrate Recovery
The Landing (CR 7th - 12th Grade)
Community Groups
Baby Dedication
Serving on Welcome Team
If you are interested in Community Groups, which day is best:
Please select all that apply.
Sunday
Monday
Tuesday
Wednesday
Thursday
Notes:
Prayer Request:
Would you like to speak with a Pastor?
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Yes
No
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Description
Please complete this form to be added to our communication database to receive information and updates for Shiloh Community Church.
Shiloh Community Church does not give out or sell personal information. Your information is used for communication purposes only.
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