Kingdom of God Empowerment Center

Connect Card

Welcome to our church! We're glad you're here. Our team would love to serve you and help you get connected.

First Name

Last Name

Email

Phone Number

Address

Apartment, suite, etc.

City

State

Postal / Zip Code

How many times have you visited our church?

This is my first time

A few times

Regular attender

Do you have a church home?

Yes

No

What is your preferred method of contact?

Phone Call

Text SMS

Email

All of the Above

How did you hear about us?

Anything else you'd like to share?