CONNECT CARD Date Visited: # of Visits: 1st time 2nd time 3rd time Name: Address: City: State: Zip: Email: Home Phone: Cell: Birthday: Marital Status: Married Single Single-Again Widowed FAMILY MEMBERS (at home) Spouse: Child 1: Grade: Birthday: Child 2: Grade: Birthday: Child 3: Grade: Birthday: Child 4: Grade: Birthday: Child 5: Grade: Birthday: Child 6: Grade: Birthday: WHAT BROUGHT YOU TO CENTRAL CHURCH? Friend Invite Word of Mouth Google Search Facebook Ad Special Event Driving By MY DECISION TODAY I am committing my life to Christ for the first time I am renewing my commitment to Christ I want to be water baptized Submit
