Connect Card

Name *

First Name

Last Name

Mobile Phone *

(###)

###

####

Birth Date

MM

DD

YYYY

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

My Decision Today

I am committing my life to Christ

I am recommitting my life to Jesus

I want to be Baptized

I would like someone from the Ministry Team to reach out to me

Next Steps

I'm interested in learning about Connect Groups

I'm interested in Next Steps Program

I'm interested in becoming a member of Vessel Church