Connect Form

We would love the opportunity to get to know you better and help you connect and grow with us!

First Name

Last Name

Email

Phone Number

Date of birth

Address

Apartment, suite, etc.

City

State

Postal / Zip Code

Gender

I would like to learn more about... (Please select all that apply)

Becoming a Follower of Jesus

Growing as a Follower of Jesus

Baptism

Volunteering

Joining an Inspiration House

Leading or Hosting an Inspiration House

Infant/Child Dedication

Membership

Are you married?

First Name

Last Name

Email

*If married, please select add another contact and enter your spouses contact info.

Do you have children?

First Name

Last Name

Email

Comments / Questions / Prayer Requests