Please enable JavaScript in your browser to complete this form.
Connect with us!
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Email
*
Are you a:
First Time Guest
Regular Attender
I have made the following decision:
I have asked Jesus into my life for the first time
I have asked Jesus into my life for the first time and have need of a Bible
I have re-dedicated my life to Jesus
I have re-dedicated my life to Jesus and have need of a Bible
Please share your address with us so we can send you a Bible!
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
I would like to know more about (check all that apply)
Becoming a follower of Jesus
Being Baptized
Becoming a Member
This church
Prayer requests | Praises | Questions
Would you like to receive TEXT messages? No one will get your phone number!
Yes, I want to receive TEXT messages!
Not at this time
I already signed up!
Please share your cell phone number with us so we can send you test messages:
*
I want to receive emails regarding Crossroads' latest news and events.
Yes, add my email address
Not right now
I already signed up!
Would you be interested in volunteering around Crossroads this summer?
Yes, tell me more
Please check all areas of interest:
Painting
Groundskeeping
Maintenance
Cleaning
VBS
Custom Captcha
*
=
Name
Submit
