* 1. Please complete the information below.

* 2. What is your date of birth?

Date:
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* 3. What is your marital status?

* 4. What is your gender?

* 5. How can the Fresh Fire Singles Ministry best serve you?

* 6. What would you like to do for fun with Fresh Fire? (Select all that apply.)

* 7. Are you willing to host a event/gathering in the future?

* 8. Have you ever been involved with a singles ministry at church?

* 9. Do you have any other comments, questions, or concerns?

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