Santa Cruz Bible Church

Communication Card

Welcome! Please fill this out if you're new or have comments, questions, or prayer requests.

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Name:

Phone:

Address:

City/State/Zip:

Email:

Single

Married

Widowed

18 - 29

30 - 45

46 - 59

60+

Number in family:

Children's Ages:

I learned about SCBC from:

I would like to be contacted:

I have questions in exploring the Christian faith.

I am interested in becoming a Christian.

I prayed to receive Christ today.

I want to be baptized.

I want to become a member of SCBC.

Other: