Connection Card - Christian Assembly

I'm filling out this form because: *

I'm new

I'm updating my contact information

Gender

Birthdate

Phone number

Address

Household members

Please mark any that apply:

I recently made a decision to follow Jesus

I am investigating faith in Jesus

I want to get baptized

I am interested in joining a Life Group

Service I visited or most often attend: *

SAT 6PM

SUN 9AM

SUN 11:15AM (South)

SUN 11:15AM (North)

SUN 6PM (Young Adults)

Online service

Please sign me up to receive the weekly Christian Assembly e-newsletter:

Yes

No

Do you have any questions or anything else you'd like us to know?