Connect Card - Newbreak

Phone number *

Birthdate *

Gender *

Household members

Address *

How would you like to be contacted?

via e-mail

via phone call

via text

What campus do you primarily attend? *

I attended in person for the first time recently!

How did you hear about us?

Friend/Family

Web Search

Social Media (Facebook, Instagram)

Drove by

Special Event held by Newbreak

Watched Online

Other

Select all that apply:

I'm commiting my life to Jesus for the first time.

I am recommiting my life to Jesus.

I would like to join a Life Group.

I would like more information on Water Baptism.

I would like more information on Baby Dedications.

I attended a campus 5 in 5 recently.

How can we pray for you?

For Care & Support visit newbreak.church/care

Join the Team

I would like to serve on the:

Hospitality Team (Greeting, Ushering, Guest Services/Connect Tables)

Coffee Team

Parking Team

Safety Team

Set Up / Tear Down Team

Life Group Leader

Newbreak Kids

Newbreak Students

Worship/Production

Outreach/Community Events Team

Sunday Events Team

Help me find a place to serve

Are there any questions Newbreak can answer for you?