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Connect Card

First Name (Adult)

Last Name (Adult)

Marital Status:

Single

Married

Widowed

Email

Spouse's Name:

Phone

Spouse's Phone

Your Date of Birth:

Spouse's Date of Birth:

Street Address

City

Region/State/Province

Postal / Zip code

How did you hear about us?

Social Media

Drove By

Friend/Family

Website

Live Stream

Other

What service did you attend?

8:30 AM

Sunday School

11:00 AM

If you have filled this out at Children's Check-in, no need to fill it out again.

Please enter Childrens name / D.O.B. / Grade / Gender / Allergies or Special Needs

I hereby give Photo Permission of my children.

Thanks for submitting!