Connect Card

Name
Filling out a Connect Card is a great way for you to let us know how we can serve you. We ask that you only fill out the information you feel comfortable sharing with us.
Address
City
State
Zip
Email
Home Phone
Work Phone
If applicable, children's
names, ages, and grades.
Are you...
Age Group
How did you hear
about Capital City?
I'd like to...
I would consider helping with...
Prayer Requests/Comments