Connection Card

Thank you for joining our online service. It would be an honor to know you better, please complete as much as you feel comfortable doing so. Please let me know if there is anything we can do for you. If you are a regular attender, please complete so we can mark your attendance.

Date of Service attending

Which service are you attending?

Sunday AM

Sunday PM

Wednesday Night

Other

How are you attending?

In person - I am in the church building

By internet

Greeting

Please select

Mr.

Mrs.

Miss

Ms.

Names of all watching this service

Please give your name and include the names of all watching with you.

Email address

Phone

Street Address

City

Zip code

What brought you to us today?

Please select

What are you interest in and how can we help?

Please select all applicable

Prayer requests or comments for Pastor or staff

If you mark “For prayer teams” below, it may go on our weekly prayer teams prayer list

Please include this request on church wide prayer list

If you wish the above prayer request to be included on the church wide prayer list, please click “Yes” below.

Send me a copy of my responses

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