Get Connected Please complete the following form to get connected. My attendance*1st Visit2nd Visit3rd VisitRegular AttendeeYou 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 BirthMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Spouse NameChild 1 NameAgeChild 2 NameAgeChild 3 NameAgeChild 4 NameAgePrevious Church MembershipI Learned of Emmanuel By:*Driving ByWebsiteInvitationOtherMy Decision Today* I am Committing My Life to Christ I Am Renewing My Commitment to Christ I Want to Be Baptized I Want to Join This Church I Would Like to Talk to a Pastor I have a Prayer Request PhoneThis field is for validation purposes and should be left unchanged.
