Freedom Connection Card

Freedom Connection Card

All Information Is Confidential.
Date

Month Day Year
Date
Name

First Name Last Name
Email
example@example.com
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Preferred Method Of Contact

Call Text Email Mail
Gender
Age

0 - 17 18 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 or more
Select All That Apply:

I Want To Follow Jesus! I Want To Be Baptized! I Want To Rededicate My Life To Christ! I Want To Join This Church! I Want To Serve In A Ministry! I Want More Information About This Church!
Interested In (Select All That Apply)

Men's Ministry Women's Ministry Teaching Team (Christian Education) Singles Ministry Couple's Ministry Security Team Media Team Children's Ministry Youth Ministry Small Group Leader Outreach Ministry Evangelism Ministry Music Ministry Ushers Ministry Greeters Ministry Parking Lot Ministry Online Church Facilitator Social Media Ambassador Administrative Team Interest Not Listed
Should be Empty:

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