Connection Card

Birthdate

Gender

Phone Number *

Address

Are you a Member, Attender or First Time Visitor? *

Prayer Request

If you have any prayer requests, please list them here:

If you would like to take a next step in your faith we would love to help you.

Please check all that apply:

I have questions, please contact me.

I'm committing my life to Jesus and am ready to be baptized.

Send me information on a Bible reading plan.

I am interested in attending the next First Step class/becoming a member.

I am interested in Discipleship.

I would like to request a meal.

Please select the areas in which you would like to serve:

Missions

Threads Outreach

Children's Ministry

Student Ministry

Worship Ministry

First Impressions or Bean Team (coffee)

Online Ministry

I'm not certain where I would like to serve.