Family Church PC - Connection Card

First Name

Last Name

Email

Phone

May we text you?
Yes
No

Spouses First Name

Last Name

Email Address

Phone Number

May we text you?
Yes
No

Address 1

Address 2

Country

City

State

Zip/Postal Code

Do you have children in the home?
Yes
No

If so, what are their names and date of birth?

How many times have you visited our church?
This is my first time
A few times
Regular attender
Member

What time did you join us for worship?
8:00 AM
9:30 AM
11:00 AM
A later time (online)

How did you join us today?
Online
In person

I would like to learn more about (check all that apply):
Jesus
Baptism
Volunteering
Membership
Family Groups
Community Christian School

I would like to receive the Sunday Spotlight, our weekly church update email?
Yes
No

Do you have a prayer request or anything else you'd like to share?