Connect Card

First Name

Last Name

Phone Number

Address

Apartment, suite, etc.

City

State

Postal / Zip Code

Are you new?

Yes, this is my first time

I've been here a few times

Regular attender and I need to update my info

My decision today: (select all that apply)

I am committing my life to Christ

I am renewing my commitment to Jesus

I would like to be water baptized

How did you hear about Cornerstone?

We'd be honored to pray for you. Write down anything you need prayer for and our team will pray for you this week.