2RC Digital Connect Card

where friends become family

Your name *

Last name

Email address *

Address *

HomeWorkOther

Country

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Phone number *

Phone type

MobileHomeWorkOther

Birthday *

Home Church: *

GETTING TO KNOW YOU!

Check all that apply: *

First time guest

Returning guest

New to the area

Gender

Select…MaleFemale

Marital Status

Select…SingleMarriedWidowed

Currently In School

Select…Middle SchoolHigh SchoolCollege/University

How did you hear about us?

I have accepted Jesus as my Lord and Savior

I have been baptized in water

I have been baptized in the Holy Spirit

I re-dedicated my life to Jesus Christ

Next Step *

Select all that apply

I'm interested in joining a home group

I would like to more information about discipleship at 2RC

I would like to talk to a pastor

I would like to volunteer for a ministry

I would like to become a member of 2RC

Other

How can we pray for you?

Submit

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.