Connect Card

Full Name*
Email*
Mobile Number*
Campus*
Gender*
Stage of Life*
How can we help?*
Select one or more.
- Select All
- I am a first-time visitor
- I'm saying 'yes' to Jesus
- I want to attend Growth Track
- I want to be baptised
- I want to join a Small Group
- I want to join the Dream Team
- I want to update my details
Prayer Request/Praise Report
Privacy Statement*
Elim Christian Centre is collecting this information to be able to communicate with you and for administration purposes. The information will only be accessed by necessary church staff and volunteers. This information will be stored securely, not distributed to any 3rd party, and you have the right to correct the information.
- I Agree
Name
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