Connect Card
First Name
Last Name
Email
Phone Number
Address
Apartment, suite, etc.
City
State
Postal / Zip Code
Age Range
18-29
30-39
40-49
50-59
60-69
70+
Middle School Student
High School Student
How many times have you visited our church?
This is my first time
A few times
Regular attender
I would like to learn more about (check all that apply):
Jesus
Baptism
Volunteering
Membership
Small Groups/Bible Studies
I would like to (check all that apply):
Schedule an appointment or phone call with Pastor Steve
Have us pray for you.
Prayer Request
Anything else you'd like to share?
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