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Home Community Interest Form
First Name
First Name is required.
Last Name
Last Name is required.
Which campus do you attend?
Willamette Christian Church
Beaverton Christian Church
Hope City Church
Which campus do you attend? is required.
Phone
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Email
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Have you participated in Rooted?
Yes
No
Have you participated in Rooted? is required.
Address
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AR
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DC
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FL
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KS
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ME
MH
MD
MA
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MS
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MT
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OR
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RI
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SD
TN
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VI
VA
WA
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Have you previously participated in a Home Community?
Yes
No
Have you previously participated in a Home Community? is required.
Select which nights of the week work best
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Select which nights of the week work best is required.
How many children would be attending with you?
How many children would be attending with you? is required.
Do you have any additional comments or questions?
Do you have any additional comments or questions? is required.
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