Connect Card Entry Page

Work Entry

First Name

Last Name

Cell Phone

Home Phone Number

Location

Email Address

Gender

Date of Birth

/ /

I made a decision to follow Christ today.

Please select all that applies to you:

Find meaningful community. Make a difference by volunteering Discover a place for my child(ren) to belong The Journey class Baptism Other

I am looking to: (Other)

Prayer Only

How can we pray for you?

Praise Report

Note

Complete