HRBC Connect Card

Thank You For Visiting

We are so glad that you decided to join us today. Please take just a moment and fill out a connect card.
Which campus are you attending?
Your Name*

First NameLast Name
Are you married?*

MarriedSingle
Spouse

First NameLast Name
Do you have any children?

YesNo
Children's Name
Phone Number
No spam or signups. Just us wanting to connect.
E-mail
Address

Street Address

Street Address Line 2

CityState

Zip Code
How did you hear about us?
What's Next?

Please let us know how we can can connect with you.
I am interested in starting a relationship with Jesus.I want to be baptized.I would like to talk to the Pastor.I am interested in learning more about HRBC.I am interested in joining a small group or Sunday School class.I would like to sign up for the weekly newsletter.I would like to be contacted by a leader.I would like to setup a home visitation.
Prayer Requests/Comments
Should be Empty:

Thank You For Visiting