We want to connect with you!

Do you have a prayer request? Would you like to get plugged in to all the exciting things we have taking place at COTR or to take your next step? We invite you to fill out our virtual connection card!

Full Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

D.O.B

*

M/F

*

Please select one option.

M F

Spouse's Name

*

In Attendance?

*

Please select one option.

Yes No

D.O.B

*

M/F

*

Please select one option.

M F

Phone

*

Email

*

This address will receive a confirmation email

My decision today:

*

Please select all that apply.

I decided to follow Jesus I want to be baptized

What are you interested in?

*

Please select all that apply.

What it means to be a Christian Baptism Serve Teams Freedom Group Small Groups

I am a:

*

Please select one option.

1st time guest 2nd time guest

Prayer Request

We would be honored to join you in prayer. How can we pray for you?

*

Description

Do you have a prayer request? Would you like to get plugged in to all the exciting things we have taking place at COTR or to take your next step? We invite you to fill out our virtual connection card!

Please Fix the Following

Close