Digital Connection Card

Digital Connection Card
We want to get to know you! Please complete this card. Your info is safe with us! Thanks for joining us today.
Your Name*

First NameLast Name
Your Email*
example@example.com
Your Phone
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Your Address

Street Address

Street Address Line 2

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Postal / Zip Code
How did you hear about us?

Invited by friend/familyWebsite/Internet searchChurch signOther
Are you looking to grow deeper in your faith and/or in your experience with Parkgate? Let us know how we can help.
I HAVE DECIDED:

to follow Jesus!to get baptized.
I'M INTERESTED IN:

joining a Community Group.finding a place to serve.growing deeper in my faith.talking to a Pastor.receiving the eNews.Other
PRAYER REQUESTS:
Is this request confidential? (If yes, will stay with our staff.)

YesNo
Should be Empty: