Connection Card

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Last name

Email address *

Address

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Country

Country

Street address

Apt/unit/box (optional)

City

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Postal code

Phone number

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Today I made a decision for Christ.

I would like information about the following ministries:

Please check all that apply.

Children

Youth

Women's Minsitry

Men's Ministry

Worship

Media Team

I would like to sign up for:

Water Baptism

Baby Dedication/Baptism

Membership

Other

I am interested in serving with the following ministry:

Please select all that apply.

Children/Check In

Youth

Holy Grounds/Maintenance

Cleaning

Coffee

Welcome/Greeter

Other

I would like someone to contact me for Biblical mentoring and Soul Care.

Please list any prayer requests below.

Please list any additional family members.

Household members

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