Connect Card

We would love to get to know you better and connect with you. Please, fill out the information below.

Your name *

Email address *

Is this your 1st, 2nd, or 3rd time as a guest with us?

Or do you want to update your information?

1st time

2nd time

3rd time

Update My Information

On what date did you attend your last service with us? *

Phone Number

Address

Birthday

Gender

Marital Status

Anniversary Date

Were there other family members who attended with you?

Please submit their names, birthdays, genders, and your relationship with them. (ex: Johnny ; 04/12/2008 ; male ; child)

Did you make any decisions in your relationship with God?

We would love to help you with your next steps.

I dedicated my life to Christ for the first time!

I rededicated my life to Christ!

I want to express my faith through water baptism!

Do you need prayer for anything?

Share your prayer requests with us.

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