Connection Card
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
I am a
Guest
Regular Attendee
If you have a prayer need we would like to pray for you.
Share my request on the prayer chain.
Yes
No
What are your interests in?
Add me to the prayer chain
Nursery
Children's Church
Youth Ministry
Women's Ministry
Men's Ministry
Life Groups
Hospitality
Worship Team
I'm interested in being baptized
Cleaning/Maintenance
Baby/Child Dedication
Administrative
Spiritual Gifts
Leadership
Saving Grace Kids
Other
Comments
Your form will be submitted to Pastor Mark.
Submit
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