Digital Connection Card

Digital Connection Card
Thanks for joining us today. We want to get to know you! If you're new today, we'd love to send you a little something! Please complete this card. Don't worry, your info is safe with us.
Your Name *

First Name Last Name
Your Email *
example@example.com
Your Phone
Please enter a valid phone number.
Your Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
How did you hear about us?

Invited by friend/family Website/Internet search Church sign Other
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. talking to a Pastor. attending the next Connecting with Parkgate class for newcomers. serving in KiX Children's Ministry Other
PRAYER REQUESTS:
Is this request confidential? (If yes, will stay with our staff.)

Yes No
Should be Empty: