Online Connection Card

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We're glad to have the opportunity to grow in Christ together today!

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Your Information

An email or phone # helps us to respond to you but is not required

Name

Email

Phone

Address

Let Us Know-

All the below fields are optional and can select one or multiple items

Today I have decided to:

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Receive Jesus Christ as my Lord Renew my commitment to Christ Other - Let us know in the Notes Section below

I would like to know more about...

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Becoming a Christian Growing in my faith Baptism Becoming a member of JCC Dedicating my child Other - Let us know in the Notes Section Below

Prayer Requests, Message to the Staff and other Notes

Prayer/Message Options

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Please keep this information confidential ( Pastors Only ) Share this with the prayer team I would like to talk to a pastor

Description

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