Connect Card
* First Name
Middle Initial
* Last Name
* Address
Address 2 (Apt/Suite # etc.)
* City
* State/Province
* Zip/Postal Code
* Email
* Birth Date
* Mobile Phone
Home Phone
* Gender
Female
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* Marital Status
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Single
Married
Divorced
Separated
Widowed
* Family/ Household Role
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Adult
Young Adult
Youth
Child
* Decision
I am a First Time Guest!
I want to become a Member of TWC!
I want to receive Christ today!
I want to get Baptized!
I want to renew my commitment to Christ!
* Campus (Decision)
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Anniston 10:00
Bessemer 8:00
Derby 10:00
Online 8:00
Online 10:00
* Stay connected and informed with what’s happening at TWC. Do we have permission to text your cell phone?
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Yes
No
* How did you hear about TWC
Radio
TV
Social Media
Mailer
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God Loves You Card
Invited by Someone
Additional Household Member(s)
- If multiple members of your family are joining (ex: spouse and children), please be sure to select the “Add another person” tab to input their individual information.
Add Another Person
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