Lifeline Connect

Thank you visiting Lifeline! Please complete your information and submit. We will enter this information into our church database. You will also be asked to consent to this and also consent to receive text messages from us.

GET STARTED!

Name

Address

This address will receive a confirmation email

Phone

Children's names (if applicable)

CONSENT

We will only use your information for our administrative use and will not share with a third-party. For text messaging, your number will only be used by Lifeline via our Breeze system for Lifeline communication.

I consent to my information being entered into the Lifeline Community Church database.

Please select all that apply.

Yes No

I consent for my cell phone number to receive text messages from Lifeline Community Church (volunteer schedule notifications, weather closings, etc.)

Please select all that apply.

Yes No

NEXT STEPS!

I'd like to (check all that apply):

Please select all that apply.

Talk to someone about my relationship with God

Please select all that apply.

Receive weekly update and prayer emails

Please select all that apply.

Be contacted about a prayer need

Please select all that apply.

Begin giving online

Please select all that apply.

Learn more about a ministry at Lifeline

Please select all that apply.

Nursery (ages birth to 3 years old) Children's (ages 4 to 12) Youth (ages 13 to 18) Worship Hospitality Sobriety & Recovery Discipleship Community Center Common Ground Cafe

Please select all that apply.

Talk to someone about (enter below)

I would like to talk to someone about:

PRAYER REQUEST/PRAISE

We would love to be able to pray for you or celebrate a praise in your life! Please share below and let us know if you'd like to keep it private or if we can share with the church.

Request/Praise:

Lifeline Connect

Description

Please Fix the Following