CONNECTION CARD
you matter to us!
Name
First Name
Last Name
Phone Number
E-mail
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
College
Saddleback
IVC
Santiago
Concordia
UCI
Chapman
Liberty
Other
Date of Birth
-
Month
-
Day
Year
Date
High School Grad Year
Please Select
2025 (Year 1)
2024 (Year 2)
2023 (Year 3)
2022 (Year 4)
CM Membership
CM is my home
I'm new (or newish!)
This is my first time
I'm starting a personal relationship with Jesus
x
I'm interested in getting baptized
x
Serving
x
Grab Coffee
x
Life Group
x
Weekend Services
x
Other
Prayer Requests, Comments, Questions, or Anything else!?
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