Connection Card (please fill out every Sunday)
Date
Which campus are you a part of?
Choose one:
MP Campus
Online Campus (I listen to the sermons online.)
Check if contact information has changed.
YES! My contact information has changed.
NO! My contact information has not changed.
Your Name
Address
City
State
Choose one:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Home Phone Number
Work Number
Mobile Number
Email Address
How did you hear about us?
I am a: (check all that apply)
First-time guest/visitor
Returning guest/visitor
Regular Attender
Age: K-5th Grade
Age: 6th-12th Grade
Age: 18-29 yrs.
Age: 30-54 yrs.
Age: 55-64 yrs.
Age: 65 + yrs
I am interested in: (check all that apply)
Asking Christ into my life for the first time
New Believer's Instruction
Believer's Baptism
Church Membership
Being on Email list
Child Dedication
Pastoral Home Visit
Small Groups
Other - please let us know in the space provided below.
Praise/Prayer Request
Check if CONFIDENTIAL. (This will only go to our pastoral staff.)
My Praise/Prayer request is CONFIDENTIAL
V-Factor (Volunteering) You can make a difference. Please check the minstry if you would like more information on voluneteering at Cornerstone.
A/V Ministry
Building Up Keep
Childrens
Church Office
Greeters
Hospitality
Music
Nursery
Student Ministries
Other - Please let us know in the space below.
Any Comments (Optional)
SUBMIT FORM
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