Digital Connect Form Name * First Name Last Name Age How did you hear about us? Examples: Google, Facebook, Flyer, a friend. If a friend referred you please fill in their name. Phone * (###) ### #### Email Gender * Male Female If you're watching online please select the time you watched. * Delmar 7:45am Delmar 9:30am Delmar 11:30am Delmar VOLT 6:30pm I didn't watch a service online. Birthdate * MM DD YYYY Campus * Delmar Dulles Dorchester Dover Bethany Never been to a campus. I am a part of the online community. Checkbox * I am a first time guest at a service [VIP] Planning a visit to a 3C location [VIP] I am giving my life to Jesus for the first time I am recommitting my life to Jesus I am interested in started Lifeclass I am interested in joining a small group I have a prayer request I received a mailer about the church & interested in visiting Other Checkbox If you want to join a small group, please let us know the evenings you have available for us to better assist your placement. Monday Tuesday Wednesday Thursday Time you are available for small group. Please let us know in more detail how we can help you today or how we can pray for you. Thank you!
