Virtual Connection Card

First name*

Last name*

Email*

Phone

Birthday

Month

Day

Year

How did you hear about us?

Friends

Social Media

Website

Other

Age Group :

Under 20s

20s

30s

40s

50+

Children's Name & Ages :

Multi-line address

Country/Region

Address

City

Zip / Postal code

Today's Date :

1st visit

2nd visit

Other

START :

I dedicated my life to Christ for the first time

I re-dedicated my life to Christ

NEXT STEP :

I'm interested in getting baptized

I would like to talk to a Pastor

GET INVOLVED :

I want to become a member

I want to volunteer for a ministry

I would like to be contacted by a leader

Prayer requests / Questions :

Office Hours

Tue: 9:00am - 4:00pm
Wed: 9:00am - 4:00pm
Thu: 9:00am - 4:00pm
Fri: 9:00am - 4:00pm

Located at

9440 Canyon Dr. Kent, Wa 98030

Email us at

kcclife@gmail.com

Call us at

253 - 373 - 9000

Check out our social media pages by selecting an icon below

kcclife@gmail.com

(253) 373-9000

9440 Canyon Dr Kent WA us 98030

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