Refuge Nation - Connect Card

Get Connected

Welcome to Refuge! We're glad you're here. Let's get connected.

First Name

Last Name

Email

Phone

Address 1

Address 2

Country

City

State

Zip/Postal Code

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

I would like to learn more about (check all that apply):
Baptism
Volunteering
Membership
Community Groups
Jesus

How did you hear about us?

Anything else you'd like to share?

Would you like to receive more information about our church and upcoming events?
Yes
No