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Connect at West

Thank you for wanting to connect with at Citylight West! Please fill out the following form so that we can best assist you in taking next steps into the life of the church.

Please note: our primary form of communication in following up with you connect card will be email, so please give us an email that you check regularly.

Your name *

Last name

Email address *

Today's Date *

Primary Campus *

I am a first time visitor or new to Citylight.

I am a regular attender

Address

Country

Country

Street address

Apt/unit/box (optional)

City

State

Postal code

Phone Number

Phone type

Birthday

Family Information

Marital Status

Spouse's Name

Spouse's Phone Number

Spouse's Email

Spouse's Birthdate

Anniversary Date

Child #1 Name, birthdate, grade, gender

Child #2 Name, birthdate, grade, gender

Child #3 Name, birthdate, grade, gender

Child #4 Name, birthdate, grade, gender

Child #5 Name, birthdate, grade, gender

How Can We Help?

I would like to know more about walking with Jesus.

I would like to join a City Group.

I would like to meet with someone on staff.

I am interested in learning more about Believer's baptism.

I want to take next steps by getting more information about...

Citylight Kids

Citylight Students

Middle School and High School Ministry

Salt Company

College Ministry

Men's or Women's Bible Studies

Equipping Classes

Christian Story, Christian Formation, or Christian Belief

Serving the Church

Serving the City

Global Missions

Care & Counseling

Prayer

I would like prayer.

Prayer request

General Question

Question or Comment

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Citylight Church Omaha
info@citylightomaha.org
(402) 932-8850

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