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Your Contact Information

Instructions:  Please carefully enter all of the requested information and then click on the appropriate ’Submit’ button. You will then be able to complete the Time & Talent Survey.

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Please enter your

First Name :   -   Last Name :   

Gender : Male Female

Birthday MM-DD-YYYY :   - -

Adapted from the original work of Al Vanderpool and Pat Cleveland for use by Calvary Lutheran Church of Del Mar California and Congregational Ministries of the ELCA.

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