Connection & Prayer Request form

We would love to know more about you!
We appreciate you taking a moment to fill out this information.
If you are 18 or older, please fill out your own individual form.

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First Name

Last Name

Email

Address 1

Address 2

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Zip/Postal Code

Phone Number

Birthday

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How did you hear about us?

Please check all that apply:
First Time at Solid Rock
Returning guest
I would like to know more about Solid Rock
I would like to know more about being a Christian

Today's Date

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Prayer Request

We are honored to pray for your request. Our staff and leadership pray regularly for requests.

My prayer request:

Please share this request with:
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Connection & Prayer Request form

Prayer Request

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