Crossroads Community Church - California

First Name

Last Name

Email

Phone

Address 1

Address 2

City

State

Zip/Postal Code

How many times have you visited our church?
This is my first time
A few times
Regular attender

How did you hear about us?

Decisions made today:
I commit to follow Jesus Christ
I renew my commitment to follow Jesus Christ

I would like to learn more about (check all that apply):
Being baptized
Growing my relationship with God
Small groups
Serving opportunities at Crossroads
Becoming a Crossroads member
Other (describe below)

Prayer requests:
For Prayer Team
For Pastoral Staff only

How can we pray for you?

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