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
CA
CO
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DC
DE
FL
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GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
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NH
NJ
NL
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NS
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NU
NV
NY
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OK
ON
OR
PA
PE
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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
I'm already following Jesus and want to take my next step
We're excited about your decision!
What's Next?!:
- Visit chadronchristianchurch.com for more info
-
Download The Chadron Christian App
What's next for me:
Please select all that apply.
I want to be baptized.
I want to make this my church
I want someone to help me grow stronger
I want to grow stronger in a C-Group.
I want to disciple someone
I want to lead a C-Group
I'm ready to serve.
I want to give
I want help inviting people to church
How'd you hear about Chadron Christian?
*
Please select all that apply.
Friend/Family invited me
Website
Social Media
Church Event
Community Event
If it was a church or community event, what was it?
I agreee to accept text messages from Breeze on behalf of Chadron Christian Church
*
Please select all that apply.
Yes
No
By selecting "Yes" above, I am consenting to receive SMS messages from Breeze regarding information and announcements for Chadron Christian Church. I understand that message and data rates may apply and message frequency varies. I can opt out by responding STOP at any time. For support I can text HELP to 87447.
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