Connect Card

Date of Today's Visit

First Name

Last Name

Phone Number

Preferred Method of Contact
Call
Text

Email Address

Home Address

Apt / Unit #

City

State

Zip/Postal Code

Country

Marital Status
Single
Engaged
Married
Widowed

Spouse Name

Number of Children

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

Do you already have a Home Church?
Not yet, still looking for a Church to call Home!
Yes; we're just visiting the River!

Anything else you'd like to share?

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