Connect Card Form
First and Last Name:
Street Address , City, State, Zip
Best Phone Number (and best time to reach you)
Email Address:
PLEASE indicate your age:
Choose one:
Under 18
18-29
30-39
40-49
50-65
65+
I would like more information on the following:
The Pulse Class
Home Groups
Wednesday Growth Groups
Kids Life (Nursery-4th grade)
Ignited Jr. High (5th-5th grade)
GenVasion (8th-12th grade)
GenVasion Young Adults
Hilltoppers (55+)
New Believer Class
Prayer Request/Praise Report (Please let us know if this is to remain confidential)
How did you find out about New Life?
Choose one:
Online
A Friend
Live Nearby
Special Event
SUBMIT
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