Connect Form • Crossroads Church Amarillo

First Name *

Last Name *

Email Address *

Phone Number *

When would be a good time to contact you? *

How did you hear about us?

If other, please specify.

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Marital Status

Spouse's Name

Do you have children?

Children's Names/Ages/Grades

Tip: Please list out all children from birth to 12th grade that are a part of your household.

Mailing Address

Mailing City

Mailing State

Mailing Zip Code

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Volunteer Teams

Hospitality Team Options (Select all that apply)

Worship Team Options (Select all that apply)

Instrumentalist Options (Select all that Apply)

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