LIFE Connect Card
* First Name
* Last Name
* Email
* Mobile Phone
* Address
* Address 2 (Apt/Suite # etc.)
* City
* State/Province
* Zip/Postal Code
* Birth Date
* Marital Status
Select one
Single
Married
Divorced
Separated
Widowed
My Decision Today!
I want receive Christ Today!
I want to rededicate my life to Christ!
I want to be Baptized!
I want to join the Prayer Team!
I want to join the Prison Ministry!
I want to Co-Lead a LIFE Small Group!
I want to lead a Small Group!
Membership Status
Member
Professional Visitor
Guest
Stay connected and informed with what’s happening at TWC. Do we have permission to text your cell phone?
Select one
Yes
No
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