Connection Card - Click on this page

Name (Required)

Email Address (Required)

Your Phone Number

What is the best contact number. Do you mind if we text you?

Prayer Requests

How can we pray for you?

My Decision Today: I want to...

Let us know if you made a decision today or if you want us to follow-up with you.

Commit my life to Jesus

Get baptized

Renew my commitment to Christ

Become a member

Join a small group

Speak with a pastor

Age Group

Your Address

Do you have chilldren at home? Please list Name and age

Life Center Church

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