Prayer & Connect Card

Name

Other family – if kids grade level helps

Email

Mobile Phone Number

Home Phone Number

Home Address

How did you hear about us?

MY NEXT STEPS (check all that apply)

I have recently committed my life to Christ through this church I have recently committed my life to Christ through other I am interested in becoming a church member I want to be baptized I want to dedicate my child to the Lord Email me a login to the church Realm site

I want to Volunteer to serve in the following area(s)

I want the pastor to contact me

By Email In Person By Phone

PRAYER REQUESTS (and praise reports)

Who should we share this prayer request with? (choose one)

Share with Everyone

Share with Leadership Team, Pastors, Elders

Share only with Pastors and Elders

Any other comments or requests?

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