CONNECTION CARD

Please fill out this form and click submit.

BY COMPLETING THIS CARD, YOU AGREE TO RECEIVE COMMUNICATIONS FROM MIRACLE CITY COLLECTIVE

Name

*

Phone

*

Email

*

This address will receive a confirmation email

Address

*

How did you hear about us?

*

Birthday

*

Marital Status

*

Please select one option.

MARRIED SINGLE WIDOWED

Spouse Name

Name and Ages of Children Living at Home

Do you attend church regularly?

*

Please select one option.

YES NO

IF YES, WHERE?

*

Are you a first time visitor?

*

Please select one option.

YES NO

I'm interested in...

Please select all that apply.

talking with a pastor. more information about Miracle City Collective. serving.

I would like to serve in

Please select all that apply.

Setup/Teardown Mini Collection (kids) Worship Hospitality Creative Local Missions Safety Team Tech (Audio/Visual & Productions)

I'd like to talk more about

Please select all that apply.

Receiving Jesus Christ as my Lord and Savior Recommitting my life to following Jesus About getting Baptized

Prayer Requests/Praises/Comments

Description

Please fill out this form and click submit.

Close