Connection Card ONLINE CONNECTION CARD Please complete one per person. If you are watching online for the first time please let us know who you are. If you have a prayer request please send to: prayer@visitlifepoint.org * Required Please choose one of the following: * I accepted Jesus for the first time today online at Lifepoint Church! I regularly view Lifepoint online and just have an info update or comment I usually attend Lifepoint in person but have an info update or comment First Name * Last Name * Date of Birth * MM/DD/YYYY Email * Primary Phone 000-000-0000 Secondary Phone 000-000-0000 Street or PO Box * ZIP (or City, State if not known) * How did you hear about Lifepoint online? Next Steps Check all that apply I will invite a friend to view Lifepoint online next week I will try to attend a service in person at Lifepoint next Sunday I will connect with a local church body Additional Comments Never submit passwords through Google Forms.