First Name
Last Name
Email
Phone Number
Reason for Filling out this Form
I am visiting or new here.
I want to connect.
I prayed to receive Christ.
I would like to meet with a pastor or leader.
I have a prayer request.
What is your hometown?
How many times have you visited our church?
This is my first time
I've been here few times
I attend regularly
Background - What brought you to church today? What caused you to respond?
My decision today is a
New Commitment to Jesus
Rededication
Other
Who did you meet with today?
How did you hear about Cornerstone?
I would like to learn more about (check all that apply):
Baptism
Volunteering
Church Community
Ministries and Groups
Discipleship
Children's Ministry (11 or under)
Youth Group (12-17)
Women's Ministries
Men's Ministries
Outreach & Evangelism
Are you looking to meet with someone specific or anyone who is available?
What is the nature of your request?
What is your availability like?
What can we pray for?
Is there a need for follow up or a visit? (if so, please include any details)
Comments/Questions:
I have a specific question for the Church Pastors
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