C3 Connect CardPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *Preffered Contact Method *EmailText MessageMarital StatusSingleMarriedFamily Age Groups0-1819-2526-4546-5960+What is your relationship with C3?1st/2nd Time GuestReturning GuestMemberHave Kids?!No KidsInfant-5th Grade6th-12th GradeCollegeEmpty NestI'm Interested In:Talking to Someone About JesusBaptismCommunity GroupsBecoming a Member of C3Baby DedicationServing in a MinistrySend Me the Weekly NewsletterJordan's Quick Six Ways to Get Plugged In at C3:I'd like to get involved in a Community GroupI want to help out with 'First Contact' (parking)I want to help out with the food pantryI want to help out with Kidz Connect check-inI want to be a part of the community service teamI want to be a part of the greeter teamAny additional Details you'd like to add about the interests above?Prayer Requests/Questions:Submit
