Connection Card - Rocky Mount Campus

New Here?

This is my:

1st time

2nd-4th time

5th+ time

Phone Number

Address

Gender

Birthday

Household members

Add any other adults in your household, plus all your kids.

How can we partner with you on your spiritual journey?

Today I decided the following:

I prayed to receive Christ

I want to be baptized

I want to join a Community Group

I want to become a member of Eastgate

Other

I want to serve on a team:

Guest Services (Greeters, Ushers, Coffee)

Kids Ministry (birth thru 5th grade)

Praise Team (band, vocals) [Membership/Audition required]

Tech Team (graphics, lights, sound, camera)

Prayer Team

Safety Team [Membership/Background check required]

Admin Team (office support during the week)

Landscaping and Grounds Team

Building Team (cleaning and maintenance)

Send your prayer request to the Prayer Team?

Before you give us your request, let us know if you would like to send your request on to the Prayer Team. If not, we will keep it confidential.

Yes

No