Get Connected Please complete the following form to get connected. My attendance* 1st Visit 2nd Visit 3rd Visit Regular Attendee You have made an important decision today. Depending on the box you check below we want to connect you to someone that can help you take the next step. Please complete the form below & let us know the best way & the best time to contact you. “See, God has come to save me. I will trust in Him and not be afraid. The Lord God is my strength and my song; He has given me victory.” Isaiah 12:2 (NLT)Salutation*Mr.Mrs.Ms.Name* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Email Date of BirthMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Spouse Name Child 1 Name AgeChild 2 Name AgeChild 3 Name AgeChild 4 Name AgePrevious Church Membership I Learned of Emmanuel By:* Driving By Website Invitation Mail Post Card Other My Decision Today* I Am Renewing My Commitment to Christ And I Desire to Connect With The Emmanuel Family I Have Decided To Follow Jesus For The 1st Time And I Would Like To Be Baptiized I am a Believer And I Would Like To Connect With The Emmanuel Family I Would Like to Talk to a Pastor I have a Prayer Request NameThis field is for validation purposes and should be left unchanged.
