Connect Form
Please fill out this form and click submit.
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Can you tell us a little about your family? (Spouse/Children)
*
Where do you live?
*
Please select all that apply.
Ravenswood area
Ripley area
Meigs County
Mason County
Wood County
Other
Do you know Christ as Lord and Savior of your life?
*
Please select one option.
Yes
No
Not sure
Select Option
Yes
No
Not sure
Have you been baptized in believer's baptism?
*
Please select one option.
Yes
No
Not sure
Select Option
Yes
No
Not sure
Are you interested in joining a small group?
*
Please select one option.
Yes
No
What questions and/or prayer requests do you have?
Submit
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