Start Your Discipleship Journey
PASTORS SAMUEL J. AND TAMIKA R. CASEY
New Life - New Disciple Intake Form
Welcome to the New Life Christian Church of Fontana, California – a vibrant and welcoming community where our mission is simple yet profound: "Change Lives... Make Disciples." We extend our heartfelt greetings; as we are genuinely thankful that the Lord has led you (and your family) to partner with us on this incredible journey of faith. Under the dedicated leadership of Pastors Samuel and Tamika Casey, along with the entire New Life Christian Church family, we are committed to creating an environment where lives are transformed and disciples are made. Our aim is to grow together in faith, love, and service, all while glorifying the Lord in every aspect of our lives. Please answer the questions below so that we can connect with you in your discipleship journey.
Let's Gather Some Information About You
Your Full Name
First Name
Last Name
Email
example@example.com
Date of Birth
-
Month
-
Day
Year
Date
Phone Number
Please enter a valid phone number.
Gender
Male
Female
Other
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please select your prefered method of communication (select all that apply)
Email
Text
Telephone call
Any Additional Family
Household Member
Head of Household
Spouse of Head of Household
Child of Head of Household
Other Family Member
If you do have other family members that should be linked to your household please link them below.
Church/Ministry Information
Christian/Church Experience
I want receive Jesus Christ as my Lord and Savior
New Life CC is my first church home.
I Come From A Previous Church Home
Other
Would You Like To Be Baptised?
Yes
No
What are some of your talents and/or giftings?
Do you have a special prayer request?
Submit Your Request
Should be Empty: