Connection card

Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I am a:

First Time Guest

Second Time Guest

Regular Attendee

New Life Member (Covenant Team)

I am interested in(check all that apply):

Becoming a follower of Jesus

Baptism

Starting Point (Membership)

Life Groups (Small Groups)

I made a decision for Christ today!

How did you attend Service?

In person

Online

I have not attended yet