Connection Card Form

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Name

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Email

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Phone

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* May we send you Text Messages?

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*By selecting “Yes” above, I am consenting to receive SMS messages from Breeze regarding information and announcements for Crossroads. I understand that message and data rates may apply and message frequency varies. I can opt out by responding STOP at any time. For support, I can text HELP to 87447. Please review the Breeze Privacy Policy and Terms of Service available at breezechms.com for more details.

Is there anyone else worshiping with you?

Where have you seen God in your life this week?

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Where do you want to see God present this week?

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Are you a Crossroadian?

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Please select all that apply.

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Would you like to make Crossroads your Home Church?

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Check as many that apply to you:

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I'm New 1st Time 2nd Time I'm interested in learning more about Crossroads I would like to talk to a Pastor I'm interested in Covenant Partnership I submit my life to Jesus! I would like to be baptized!

Serve in:

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Welcome/Hospitality Team Crossroads Kids Crossroads Students Worship/Tech Team Volunteer for Ministry of Helps Other(Comment Below)

Other Information or Submit a Prayer Request here:

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Your Prayer Request:

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Add this to staff prayer time Please keep confidential

Description

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