Connect Card

This form is for visitors to get connected, or members/attenders to change/update their contact information. Visitor information will not become available to the church with this form, and we do not share visitor information. Member and attender information will be updated in our church database.

Tell us about yourself...

Name

Phone

Address

I attended:

Please select one option.

1st Service 2nd Service Online/Livestream

I am a guest of:

I am a(n):

Please select one option.

Member Attender 1st Time Visitor Visitor

Anniversary Date

My Birthdate

Spouse's Name

Spouse Birthdate

Age Group

Please select one option.

18-24 25-34 35-44 45-54 55-64 65+

Children's Names / Birthdays / Grades

If you'd like information about us...

Please send me information about (check any of the following that apply):

Please select all that apply.

A relationship with Christ Baptism Bible Studies Church membership Counseling Community Groups Other

If you selected "Other" above, please tell us what you'd like information on.

Prayer Request

The confidentiality of my prayer request is:

Please select one option.

Public Staff Only Confidential (Elders only)

Do you want your prayer request on the weekly prayer chain?

Please select one option.

Yes No

Please tell us your prayer request:

Connect Card

Description

Please Fix the Following