CONNECT Card

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Date of Service Attended *

Service Time * 9:30am11amOnline
First Name *

Last Name *

Date of Birth *

Email *

The fields below are your opportunity to share any extra information you'd like us to know or let us in on your next steps.

Gender *
MaleFemale
Do you need to change your contact information? *
YesNo
Best Contact Phone *

Phone Type *
HomeCellWork
Address

City

State

Zip Code

Age Group *
12-1718-2930-3940-4950+
Marital Status *
SingleMarriedDivorcedWidowed
I am a... *
1st time guest2nd/3rd time guestRegular attendeeMember
If you are a 1st, 2nd, or 3rd Time Guest, how did you hear about LifeSpring Church?

My next step is to... (select all that apply) Join a LifeGroupJoin a Support GroupBegin exploring a relationship with JesusTrust in Jesus alone for salvationStart following Jesus againBe baptized by immersion (like Jesus)Attend a First Step membership classStart serving at LifeSpring ChurchStart giving/tithing to GodBe contacted by pastoral staff
I have recently... (select all that apply) Trusted in Jesus alone for salvationHad a major life changeRelocated to this area
Prayer, Praises, Comments... (what God is doing in your life)

My Prayer, Praises, Comments are for... *
Pastors & StaffPastors onlyPrayer NetworkN/A
If you do not receive a successful submission message after clicking "Submit," make sure all required fields are filled in.