First Name (required)

Last Name (required)

Email (required)

Grade (required)
7th8th9th10th

Service Date (required)

Small Group Leader/Mentor Name (required)

What Day in the Church Year is it?

The Bible passage used as the basis of the sermon today was: (required)

What did what you heard in the message apply to your life? (required)

How can you apply this to your life? (required)

This week I will pray for: (required)

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