Please fill out the short form below to plan your visit

Plan a visit

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* 1. What is your name?

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* 2. What is your email address?

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* 3. How many in your household?

1-2

3-5

6 or more

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* 4. Cell Phone Number

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* 5. Where do you live?

Millersburg area

Elizabethville area

Halifax area

Berrysburg area

Lykens area

Other

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* 6. Would you like information about Youth and/or Children's Ministries?

Yes

No