New Room GMC - Connect Card • Victory Dream Center

New Room GMC - Connect Card

First Name

Last Name

Email Address

Phone Number

Date of Birth

Home Address

Apt #, Lot #, PO Box

Home City

Home Zip Code

How can we help you grow in Jesus?

I want to begin discipleship and grow in Jesus

I want to connect with the children's ministry

I want to give my life to Jesus

I want to come back to Jesus

I am stuck in addiction or sin pattern

I want a pastor to contact me

I want to be baptized

I want to volunteer

Prayer Request