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Point Loma
Email us at:
info@crosswalkvillage.com
CROSSWALK POINT LOMA
First Name
Last Name
Email
Phone Number
Date of birth
Month
January
February
March
April
May
June
July
August
September
October
November
December
Date
1
2
3
4
5
6
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27
28
29
30
31
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
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1947
1948
1949
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1951
1952
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1954
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1957
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1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
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1972
1973
1974
1975
1976
1977
1978
1979
Year
1980
1981
1982
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1984
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1986
1987
1988
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1990
1991
1992
1993
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1998
1999
2000
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2002
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2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Address
Apartment, suite, etc.
City
State
Postal / Zip Code
Gender
Male
Female
I'd rather not say
Marital Status
Single
Married
Widowed
Separated
Divorced
I'd rather not say
How many times have you visited Crosswalk?
This is my first time
A few times
Regular attender
How did you hear about us?
I would like to learn more about (check all that apply):
Jesus
Baptism
Membership
Baby Dedication
Are you interested in volunteering to serve?
Hospitality/Cafe
Kids/Youth
Prayer Team
Music/Praise
Tech/Sound/Camera/Lights
Logistics/Set Up/Tear Down
I'm down to serve wherever I can
Anything else you'd like to share?
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