CONNECTION FORM

We're so glad you're joining us either in person or online. We would love to get to know more about you as you know more about Cornerstone. We want to invite you fill this out as you take NEXT STEPS with us!

Your Name

First Name

Gender

Last Name

Date of Birth

Email Address

Mobile Number

Age Bracket

0-17

18-29

30-54

55+

Tip: If you do not want to give your birthdate filling out this field will be helpful as we send out age related information.

Address

Home Address

Home City

Home State

Home Zip Code

Household Members

Please add the names of the those in your household.

Adult(s)

Child(ren) *If you can include their age, grade and school that would be helpful for our children and youth ministries

How long have you been with us?

How are you joining us?

What is God doing in your life?

I have quesitons about a relationship with Jesus.

I am trusting Christ for a New Life in Him.

I'd like to speak with Staff/Pastor.

Other

I am interested in knowing more about:

Baptism

Child Dedication

Membership

Christian and Missionary Alliance (The larger family we are a part of)

Children's Ministry

Youth Ministry

Women's Ministry

Circles (groups that meet once a month to connect)

Worship Ministry (musicians, singers, audio, video, etc)

Other

If you choose OTHER from the previous question please answer here.

CAC Directory Info-Please fill out the next two questions if you would like to be part of our directory.

We DO NOT use the directory for anything other that a way to connect with one another in the church. It is not used for marketing or sales. We appreciate your understanding with this.

Include on Directory

Yes

Please select what information of yours can be shared:

Phone Number

Mobile Number

Email Address

Home/Mailing Address

NONE