Church of the Beloved - Connect Card

First Name

Last Name

Email

Phone Number

Marital Status

Spouse Name

Last Name

Do you have any children?

First Child's Name

Last Name

Second Child's Name

Last Name

Third Child's Name

Last Name

How many times have you visited our church?

First Time Visitor

Returning Visitor

Regular attender

Member

I would like to learn more about (check all that apply):

I'm new and would like more info

Faith and God

Baptism

Serving Opportunities

Church Membership

I'd like to connect with a leader

Community Groups

I would like more information about Community Groups in or near my neighborhood:

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

How did you hear about us?

We'd love to know how we can be praying for you! This information will be shared with the pastors, who count it a joy to pray for you.