Charlottesville Community Church

Connect Card

Welcome to our church! We're glad you're here. Our team would love to serve you and help you get connected.

First Name

Last Name

Email

Phone

Address 1

Address 2

Country

City

State

Zip/Postal Code

If you are visiting, which best describes you?
This is my first time
I've attended a few times
Regular attender

Are you:
Single
Married
A Parent
A Student

If you have children, how many and what are their ages?

If a college student, what year?

I would like to learn more about (check all that apply):
A relationship with Jesus
Baptism
Community Groups
Serving
Missions

How did you hear about us?

Anything else you'd like to share?