Connect Card
We want to connect with you. Please fill out this form and one of our team members will get back with you soon.
Name
*
Spouse
Age Group
*
Please select all that apply.
Adult <20
20's
30's
40's
50's
60's
70's
80+
Minor Child / Name & Age
Minor Child / Name & Age
Minor Child / Name & Age
Minor Child / Name & Age
Email
*
This address will receive a confirmation email
Phone
*
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
I have attended an in person worship service....
*
Please select one option.
1 time
2 times
3 times
4+ times
I prefer to watch the worship service online and...
Please select one option.
live in the community.
live out of town.
Next Steps
Check All that Apply:
Please select all that apply.
I am following Jesus for the first time.
I am renewing my relationship with Jesus.
I want to be baptized.
I want to learn more about the church and attend the Next Step Lunch.
I would like to speak with the pastor.
Prayer Requests / Comments
Submit
Description
We want to connect with you. Please fill out this form and one of our team members will get back with you soon.
×
Please Fix the Following