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Connection Card

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Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Email Address*
Your Date of Birth*

MonthDayYear
Date
Which campus/congreation did you visit/plan on visiting?*

Central (Moore)WoodruffLake CooleyEast AsianEspañol
What is your primary language?*
Do you want us to reserve you (and your family) a front parking spot and reserved seat in the worship center? *Registration for this opportunity closes on Saturday at 7PM.

YesNo
How many seats do you need?*
Please list the name of each person attending the service.*
Do you have anyone in your party with limited mobility or special needs? If so, please describe. If not, please list n/a.*
Please include vehicle make/model and color so we can easily identify you and direct you to your reserved parking spot. *
Please list your complimentary Goodtree Cafe order if you would like a coffee or tea beverage. Please indicate hot or cold, milk preference and any flavors/sweeteners.
Which Sunday do you plan on attending?
Marital Status

SingleMarriedEngagedWidowed
Spouse's Name

First NameLast Name
Spouse's Phone Number
Format: (000) 000-0000.
Spouse's Email Address
example@example.com
Your Spouses Date of Birth

MonthDayYear
Date
Which service do you attend?

9:00 AMOnline11:00 AM
Your Attendance at Church at The Mill*

First VisitSecond VisitThird Visit
How did you hear about us?

Internet SearchFacebookInstagramFriend/Family invited meDrove byOther
Fill out below if you have child(ren).
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Child #1

First NameLast Name
Birthdate

MonthDayYear
Date
Grade (2025-2026 School Year)
School
Gender
Special Needs/Allergies
Child #2 (If applicable)

First NameLast Name
Birthdate

MonthDayYear
Date
Grade (2025-2026 School Year)
School
Gender
Special Needs/ Allergies
Child #3 (if applicable)

First NameLast Name
Birthdate

MonthDayYear
Date
Grade (2025-2026 school year)
School
Gender
Special Needs/ Allergies
If you have another child, please enter all info here.
If not English, what is the primary language spoken in the home?
I give permission for my child(ren) to be photographed for media.*

YesNo
I agree to Opt In to SMS. Reply STOP at any time to Opt Out.

YesNo
Privacy Policy: We do not share any of your information to third party services, vendors, or other services providers.
Should be Empty:

Fill out below if you have child(ren).