Connect card

First Name

Last Name

Email

Phone

Country

City

State

Birthdate

How many times have you visited our church?
First Time
Second Time
Third Time
Regular Attendee

I would like to learn more about (check all that apply):
Becoming a Christian
Water Baptism
Next Steps Membership
Small Groups
Serving
Child Dedication

How did you hear about us?

Preferred Contact
Phone
Text
Email

Marital Status
Married
Single
Widowed
Divorced