Connect Form

Are you a member of Candlewood Church? *
YesNo

First Name *

Last Name *

Email *

Phone *

Gender *
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Marital Status *
SingleMarriedWidowed

Select the one which best describes you? *
College StudentWorking SingleNewly Married CoupleMarried Couple with No KidsMarried Couple with Young KidsMarried Couple with TeensMarried Couple with Grown KidsOther

Age Range
---18-2930-3940+

Select the Area of Town You Live In *
Central OmahaWest OmahaNorth OmahaSouth OmahaPapillion/La VistaBellevueCouncil BluffsOther

I'm interested in connecting in: *
Connecting with a groupLearning about God/the BibleServingMeeting with a PastorOther

How can we pray for you?

Anything else you'd like to share?

I would like to receive email updates from Candlewood Church: *
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