Church 212 - Care Card

Connection Card

Welcome to our church! We're glad you're here. Our team would love to serve you and help you get connected.

First Name

Last Name

Spouse

Names & Ages of Children

Email

Phone

Address 1

Address 2

Country

City

State

Zip/Postal Code

How many times have you visited our church?
This is my first time
A few times
Regular attender
I'm a Member

I would like to learn more about (check all that apply):
Baptism
Volunteering
Membership
Life Groups
Growth Track

If you made a decision for Christ choose which applies:

How did you hear about us?

Anything else you'd like to share?

Email Address