Connect Form

This information is for the use of the Colac CFC Pastoral Team to help connect with you.
Any information provided is private and confidential, and will not be shared or sold to third party providers.

First Name

Last Name

Gender

Please select one more options from the following list

Just visiting

I would like prayer (feel free to add any detail below)

I'd like to find out more about becoming a follower of Jesus

I've made a decision to follow Jesus

I would like some assistance

I would like to know more about Programs at CFC (Kids / Youth / MOPS / etc)

Comments / Please contact me about...

I would like prayer for...

Select one of the following

Phone

Phone Number

Email Address

Is there a best time for us to contact you?

Home City

Home State

Home Postcode

THANK YOU for filling in this Connect Card - please click the 'submit' button below!

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