CONNECT CARD & PRAYER REQUEST

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CONNECT CARD & PRAYER REQUEST

*If you are completing this form for the Prayer Request, please fill out your details then scroll to the bottom of the page to put in the details of your prayer request. Thank you.

Date *

YYYY

Which service are you attending today? *

Please select one option below

EN Brisbane - CENTRAL at EN Brisbane 3/61 Holdsworth St, Coorparoo (10am service)

EN Brisbane - LOGAN at Woodridge State High School (9.30am service)

EN Brisbane - ONLINE service on Facebook Live (online streamed service)

First Name *

Last Name *

Mobile Number *

Email Address *

Address

I AM A: *

Please select one

First time guest

Returning visitor

Regular Attendee

Member of Every Nation Brisbane Central

Member of Every Nation Logan

HOW DID YOU HEAR ABOUT US? *

Please select one

Website

Social Media

Friend / Family Member - enter their name in the next section below

Other:

FRIEND / FAMILY MEMBER:

If you heard about EN Brisbane from a 'Friend / Family Member' please put their name below

I AM INTERESTED TO KNOW MORE ABOUT:

Please select all that apply

Baptisms

Discipleship

Life Groups

Church Membership

Volunteering in a Ministry

Being a Christian

TODAY:

Please select all that apply

I am committing my life to Jesus Christ for the first time

I am renewing my commitment to Jesus Christ

I would like to be water baptised

I would like to be contacted by pastoral staff

I AM: *

Please select all that apply

Male

Female

Single

Tertiary Student

Married

12-18yrs old

19-29yrs old

30-39yrs old

40-49 yrs old

50-59yrs old

60+ yrs old

Required

PRAYER REQUEST / PRAISE REPORT

Let us know how we can pray for you or let us know about a praise report you'd like to share with us

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