Connection Card

Are you a first time guest? If you are a first time guest at Christian Assembly Church, thank you for joining us. We would like to know you and share about what's available to you at Christian Assembly Church.

First Name *

Last Name *

Email Address *

Mobile Number *

Date of Birth

Marital Status

Address

City

State

Zip Code

My decision today

I am committing my life to Christ

I am recommitting my life to Christ

I want to be Water Baptized

I would like someone from the pastoral team to reach out to me

Prayer Request