Summit 419 Church Connection Card

Phone number

Household members

Address

How many times have you attended Summit 419 Church in person? *

How did you hear about us? *

You an choose more than one way.

Driving by

Friend/Family/Community Member

Website

Mailer

Social Media

Program of Event

Other

If other, please explain:

I would like more information about:

Please feel free to pick multiple items!

How to become a Christian

How to get baptized

How to be discipled

How to join a community group

How to serve as a volunteer

Attend the Connect and Elevate class

Other

If other, please explain

We are glad you are here!

We look forward to helping you know Jesus personally and follow him passionately. Thank you for filling out this form!