Connect Card - Signup


* Date:
* Name:
* Address (please include city & zip):
* Home phone:
* Cell phone:
* Can you receive texts?:

Would you be interested in receiving text notifications for upcoming events?
* If yes please enter your cell carrier:
* Email:
* Birthday:

Children's names; ages & school they attend:

What ministries would you be interested in receiving more information about?
Discipleship School
Upwards Sports
Children's Ministries
Youth Ministries
Young Adult Ministries
House2HouseGroups
Watersprings School (Preschool - Highschool)
Other: (please list)


If you are new to our church please fill in the below also

This is my first visit
This is my second visit
Today I prayed to receive Jesus
I am interested in learning more about Jesus
Please update my contact info

I am: (Fill in as much or as little as you would like)
18-20
20-30
30-50
50+
Single
Married
Divorced
Widowed
I have kids
I don't have kids
I am an empty nester

How did you hear about Watersprings Church?
Friends/family
Social Media
TV/Radio
Thrift store or Coffee shop
Watersprings School
Other: (please list)

Notes: