Connect Card

Check In

* Indicates required field

Name *

First

Last

Submit

We are so glad to have you here at Life Church! Please take a moment and fill out the Guest Information Card below.

* Indicates required field

First/Last Name *

First

Last

Are you new to the area? *

Yes No

How did you hear about Life Church? *

Personal Invite Website Social Media Other

Choose One *

1st Time Guest 2nd Time Guest Regular Attendee Life Church Member

Cell *

Email *

Birthday *

Age *

Address *

City *

State *

Zip *

Children Living in your Home (Names/Ages) *

Please list names and ages of your children

How can we Pray for you? *

Submit