Connection and Prayer/Praise Card

We’d love to get to know you better. Please take a moment to fill out this Connection Card so we can connect with you, celebrate your next steps, and support you in your faith journey. Whether you’re new, visiting, or looking to get more involved, this card helps us walk alongside you.

Your name *

Last name

Email address *

Address *

Country

Street address

Apt/unit/box (optional)

City

State

Postal code

Phone number *

Phone type

I Am Visiting Bloom Church For The First Time!

I Am

a Regular Attender at Bloom Church

a Visitor

Visiting Bloom Church for the Second Time

Your Age Group

Under 20

20's

30's

40's

50's +

How did you hear about us?

Website

Instagram/Facebook

Friend

Other

My Decision Today

If you've made a decision today, congratulations on your commitment to Christ!
Here's what's next:

I am committing my life to Christ

I am renewing my commitment to Christ

My Next Step

I'm interested in getting Baptized

I'm interested in attending KNOWN

I'm interested in joining a LifeGroup

I would like to talk to a Pastor

I would like to take the 3-Month Tithe Challenge

Get Involved

I want to become a member

I want to volunteer

I would like to know the Next Steps

SWITCH (Youth)

Other

Prayer Request and Praise Report

Please check off the appropriate option and use the textbox below to submit your prayer requests and/or praise reports.

Prayer Request

Praise Report

Prayer Request and Praise Report

If you would like this request to remain confidential, please let us know below.

For More Information And To Stay Updated, Follow Us On

Website: bloomchurch.tv
Email: info@bloomchurch.tv
Instagram: @bloomchurchregina
Facebook: facebook.com/bloomchurchregina

A copy of your responses will be sent to your email address.

Bloom Church Regina
info@bloomchurch.tv
306-721-4351

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