Connection Card

Your Name *

First Name

Last Name

Gender *

Male

Female

Phone *

Your privacy is important to us. By providing your contact information, you agree to receive any notifications the church may send out via text or email. You can opt out at any time.

(###)

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Birthday *

MM

DD

YYYY

Let us know what's going on in your heart:

It's my first time here

I committed my life to Christ today

I want to get involved at Decibel Church

Updating my information

Status

Single

Married

Divorced

Widow

Empty Nester

Spouse's Name

First Name

Last Name

Spouses Gender

Male

Female

Spouse's Phone

(###)

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Spouse's Birthday

MM

DD

YYYY

Child's Name

First Name

Last Name

Child's Birthday

MM

DD

YYYY

Child's Gender

Male

Female

Second Child's Name

First Name

Last Name

Second Child's Birthday

MM

DD

YYYY

Second Child's Gender

Male

Female

Third Child's Name

First Name

Last Name

Third Child's Birthday

MM

DD

YYYY

Third Child's Gender

Male

Female

Fourth Child's Name

First Name

Last Name

Fourth Child's Birthday

MM

DD

YYYY

Fourth Child's Gender

Option One

Option Two