Liberty Church Campuses - Connection Card

Connection Card

Welcome to Liberty Church! We're glad you're here.

First Name

Last Name

Email

Phone (Example xxx-xxx-xxxx)

Spouses Name

Number of Children

Address

City

State

Zip Code

How many times have you visited our church?
This is my first time
A few times
Regular attender

I would like to learn more about (check all that apply):
Jesus
Baptism
Small Groups
Connection Track

My Decision Today:
I committed my life to Christ
I renewed my commitment to Christ
I want to be baptized

Starting Point
I would like to attend
Childcare needed (Nursery-5th gr.)

How did you hear about us?

Anything else you'd like to share?

Select Campus