CONNECT CARD

“We would love to know more about you and your family so we can stay connected. You are important to us! ”

Name

First Name

Last Name

Date of Birth

Gender

Email

Phone

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Married?

Spouse's Gender

Spouse's Name

Did your spouse attend Today?

Children Name/Birthday/Grade

How Can We Help You?

I am a first time guest

I said yes to Jesus today

I am interested in joining a life group

I am interested in baptism

Prayer Request

Praise Report