CONNECT CARD
Today's Date
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Which location would be your home campus if you joined us in person?
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Crossroads Sheboygan
Crossroads Manitowoc
Crossroads Online
Your Contact Information (our way to connect with you!)
First Name
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Last Name
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Phone Number
Mobile Number
Please choose a provider
AllTel (USA)
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Email Address
Home Address
Home Address
Home City
Home State
Home Zip Code
Help us get to know you better!
How did you hear about Crossroads?
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Family Member
Flyer
Friend
Internet
Mailings
Movie Theater Ad
Newspaper Ad
Other
Poster
Yellow Pages
If you heard about us through a friend, please provide name(s)
I would like to learn more about
How to begin a relationship with Jesus
How to join this church family
How to get involved in a ministry at CCC
Crossroads Kids (Birth-5th grade)
RUSH Youth Group (6th-12th grade)
Adult LifeGroups
Speaking with a staff member
I made the decision to ask Jesus to lead my life, and need direction for next steps in my walk with Him
Other
If "Other", please explain
Family (# of children)/Names & Ages
How would you like us to contact you?
Email me
Call me
Comments (Optional)
Let us connect with you!
Please check this box if you would welcome receiving a series of texts and/or emails over the next six weeks that will help introduce you to our church.
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