Connection Card

Connection Card

Please complete form below. Be sure to press "Submit" when completed.
Name

First NameLast Name
Gender
Date of Birth

MonthDayYear
Date
Email
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about us?
Are you a college student? If so, what school do you attend?
Will this be your first time attending a service?
Are you looking for a church home?
How can we pray for you?
When you leave stop at the "Welcome Table".

Service Time: Sundays @ 12 PM. Arrive at least 20 to 30 minutes early to pick up your VIP gift!
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