Connect Card

Phone number

What's the best way to reach you?

Check all that apply.

Phone

Text

E-mail

Which campus are you primarily attending? *

I want to connect because... *

Something not on the list? Click "other" and let us know what's on your mind in the text box at the end of this form.

I am new and want to get connected (Burnaby)

I am new and want to get connected (Langley)

I'm curious about faith/I would like to connect with a pastor

I accepted Jesus for the first time

I want to join a Life Group

I want to join a Serve Team

I am interested in becoming a member

I would like to get baptized

Other

I want to sign up for E-Connections

Revive City Church weekly newsletter, sends on Thursdays.

I have a prayer request

We want to pray with you. Let us know what you need prayer for and we will share with our staff & our prayer team.

I want to share a testimony / answer to prayer

We'd love to celebrate & praise God with you! Please share below.

Other / Notes