Connect Card • Parkland Foursquare Church

PARKLAND FOURSQUARE CONNECT CARD

Thank you for filling out a connect card. We look forward to serving you the best we can. You may ADD more members of your household below (eg kids or spouse). We will make the first person on this form the primary contact.

First Name *

Last Name *

Date of Birth

Gender

Marital Status

Anniversary

Email Address *

Tip: If this person does not have an email or phone number put "N/A". We will use the contact of the first person in the form.

Phone Number *

How can we help you? *

I want to make Parkland Foursquare home.

Parkland Foursquare is my home church.

I'm looking to get connected with a home group.

I'm looking to join a volunteer team.

This is my 1st, 2nd or 3rd time visiting.

I am a visitor from out of town.

Mailing Address *

Mailing Address Line 2

Mailing City *

Mailing Zip Code *

Mailing State *

Please let us know if you have any additional comments or questions below: