Today's Date: *Name *FirstLastGender *FemaleMaleAge *13-1819-3031-3940-5556-6970+Home Phone *Cell Phone *Email *Marital Status *SingleMarriedSeparatedDivorcedAddress(Optional)City, State, ZipOptionalHow many times have you visited Citadel Church?1st Time2nd Time3rd TimeHow did you hear about us?Friend/FamilySocial MediaFlyerTelevisionOtherList any children, and their ages:Would you like to receive periodic emails from Citadel Church with upcoming events?Yes, please.No, thank you.Is there anything we can partner in prayer with you about?Are there any praise reports you'd like to share?I would like more information about:Children's Ministry (0-12)Youth Ministry (13-18)Young Adults Ministry (19-30)Women's MinistryMen's MinistryC Groups (Community Groups)The Citadel WayI would like to get involved in:AdministrationChildren's MinistryYouth MinistryYoung Adults MinistryGuest Service MinistriesCare MinistrySet Up / Tear DownGraphic Design / WebMedia / AVLOutreach / EvangelismMessageSubmit
