Home
About Us
Meet the Team
Beliefs
Ministries
Events
Give
Contact Us
Home
About Us
Meet the Team
Beliefs
Ministries
Events
Give
Contact Us
CONNECT CARD
Name
*
First Name
Last Name
Check All That Apply
I'm a new visitor at Life Assembly
I'm looking for a church home
I am interested in getting involved
I would like more information about a personal relationship with Jesus Christ
Email Address
*
Phone
(###)
###
####
Address
Best way to contact me:
Email
Phone Call
Text Message
Do you have kids?
Yes
No
If so, how many? What age range?
I made Jesus Christ my Savior today
Thank you! Will we follow up with you soon!