App Connection Card

Connection Card
Today's Date

Month Day Year
Date
Select Campus *
Please indicate which service *

Saturday 6pm Sunday 9:15am Sunday 11am
Please indicate which online service *

Saturday 6pm Sunday 9:15am Sunday 11am On Demand
What platform did you watch on *

MPCC web page Facebook
I am a(n)... *

1st Time Visitor 2nd Time Visitor Attendee Member
Looking for a church home

Yes No
Those in attendance today *
Please provide the following information
I need to update my contact information
Next Steps
I am interested in baptism for:
I am interested in

joining a Group Missions Women's Studies Adult Sports Youth Sports Membership - please sign me up for the next Starting Point Serving - please sign me up for the next Connection Point
I would like to be contacted by Congregational Care

Yes
I am interested in baptism for:

First Name Last Name
Age/Grade
Please fill out the following:
Married Divorced Widowed Never Been Married
Address

Street Address

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
E-mail
How did you hear about Mount Pleasant?
I am interested in baptism for:
First Name Last Name Age/Grade
I am interested in baptism for:
First Name Last Name Age/Grade
Those in attendance today *

First Name Last Name
Adult Child
Date of Birth

Month Day Year
First Name Last Name
Adult Child
Date of Birth

Month Day Year
First Name Last Name
Adult Child
Date of Birth

Month Day Year
First Name Last Name
Adult Child
Date of Birth

Month Day Year
First Name Last Name
Adult Child
Date of Birth

Month Day Year
Should be Empty:

Connection Card

Next Steps

Please fill out the following: