Connection Card
* First Name
* Last Name
* Date
* Gender
Female
Male
* Birth Date
* Marital Status
Single
Married
Foster Parent
Divorced
Widowed
* Address
* Address 2 (Apt/Suite # etc.)
* Service Time
Select one
Sunday 9 AM
Sunday 11 AM
Wednesday 6:15 PM
* Mobile Phone
* Receive Text Updates
Select one
Yes
No
* Email
* I would like more info on:
Salvation
Baptism
Membership
Finding a Life Group
Serving
Other
* How did you hear about us?
Friend/Family
Online
Driving by
Sticker
Social media
Other
* Questions/Comments?
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