Connection Card
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Today's Date
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
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CO
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DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
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MO
MP
MS
MT
NB
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NH
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NS
NT
NU
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NY
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OK
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OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Birthday
*
My T-shirt size
I'm new
Please select all that apply.
I'm new to Chadron Christian Church
My Decision Today
Please select all that apply.
I'm committing my life to Christ
I'm renewing my commitment to Christ
We're excited about your decision!
Next steps:
- Visit chadronchristianchurch.com for more info
- Download the church app
- Consider baptism! Check the box below to sign up or learn more.
My Next Step
Please select all that apply.
I want to be baptized.
I want to be discipled/mentored.
I want to find a C-Group.
I'm ready to serve.
I'm interested in learning more about child dedication.
I consider Chadron Christian Church my church home and I wish to be part of this family.
Submit
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