Connection Form
Name*
This is the first time I am connecting with Crossroads as a guest
I am connecting with Crossroads as a regular attender or member
I am in need of prayer
Prayer Request
Yes
No
Email
Cell Phone( ) -
Weekly E-mailed Ministry Updates
Finding a Connect Group
Attending a "Discover Crossroads" class
A relationship with Jesus (Salvation)
Baptism
Church Membership
Would like a call from a pastor
Phone Call
Text
Children (Birth-5th Grade)
Youth (6th-12th Grade)
College
Young Singles (18-34)
Singles (35+)
Nearly/Newly Married
Young Married
35-54
55-69
70+
Active Duty Military
Any other information you would like us to know.
