CONNECTION CARD
you matter to us!
Name
First Name
Last Name
Phone Number
Format: (000) 000-0000.
E-mail
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
College
Saddleback
IVC
Santiago
Concordia
UCI
Chapman
Liberty
Other
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
High School Grad Year
Please Select
2026 (Year 1)
2025 (Year 2)
2024 (Year 3)
2023 (Year 4)
CM Membership
CM is my home
I'm new (or newish!)
This is my first time
I'm starting a personal relationship with Jesus
x
I'm interested in getting baptized
x
Serving
x
Grab Coffee
x
Life Group
x
Weekend Services
x
Other
Prayer Requests, Comments, Questions, or Anything else!?
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