Glenwood - Saturday Night
Glenwood Campus
2800 S. Independence Blvd
6:00 PM
Glenwood - Sunday Morning
Glenwood Campus
2800 S. Independence Blvd
9:30 & 11:15 AM
Live Streaming
of the Glenwood Sunday Morning Service
11:15 AM (EST)
Corporate Landing - Sunday Morning
Corporate Landing Middle
1597 Corporate Landing Pkwy
10:30 AM
Beach Worship (Seasonal)
Memorial Day - Labor Day
Chix cafe 7th Street
Sundays 9:30 AM

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Connection Card

Information

Please indicate if you are submitting any new information on this form:

Yes (new information)

No (previously submitted information)

Name(s): *

Please indicate:

Single

Married

Separated/Divorced

Widowed

Address:

Number of people viewing in your household: *

Best Phone Number:

Type:

Home

Work

Cell

E-mail address:

This is my ____ time visiting/viewing Coastal:

1st

2nd

3rd

4th (or higher)

I am a guest of...:

Circle your grade/age:

K-5th

6th-12th

18-29

30+

Children living in your household (Please list: name, grade/age):

Response

How did you hear about Coastal?:

Comments/Suggestions/Questions:

Prayer Request (Destination):

Confidential

Prayer Team

Speak with a Minister

Prayer Requests (Explain):

Enroll me in:

Coastal Coffee

Coastal 101: Discovering Membership

Coastal 201: Discovering Maturity

Coastal 301: Discovering Ministry

Coastal 401: Discovering Missions

Check below if you would like to order a CD of today's service:

Yes

CDs are $1.00 and will be available for pickup at Glenwood next week.

Date:

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© 2012 Coastal Community Church - Many places, one people569 Central Dr, Suite 101
Virginia Beach, VA 23454
Phone: (757) 233-1293 | Fax: (757) 233-9356
For information, E-mail: info@vbcoastal.com
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