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Connection Card
Answer the question below
and the connection card will appear.
You can also reach us by calling 702-254-2251
or send an email to info@valleyvegas.org.
* REQUIRED FIELDS *
Which statement best describes you?
Valley is my home church
I have attended Valley many times
This is my first time in person at Valley
I watch online regularly and do not attend in person
I just found this church online and have never attended in person
First and Last Name
Email
Phone Number
First Name
Last Name
Email
Phone Number
Date of birth
Month
January
February
March
April
May
June
July
August
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November
December
Date
1
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1912
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Year
1980
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2000
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2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Address
Apartment, suite, etc.
City
State
Postal / Zip Code
Gender
Male
Female
I'd rather not say
Marital Status
Single
Married
Widowed
Separated
Divorced
I'd rather not say
How did you hear about us?
Personal Invite
Website
Social Media
Other
Other - Write answer below
What City and State are you watching from?
We are glad you found us! What City and State do you live in?
Today I gave my life to Jesus
Pray for me
Contact me about next steps
I want more information about
Baptism
Child Dedication
Leading a Life Group
Joining a Life Group
Men
Women
Youth Ministry
Kids Ministry
Weekly Events at The Church
Outreach
Valley U Classes
I want to volunteer!
Cafe 3:16
Events
Food Pantry
Guest Services
Kids Ministry
Levites Cleaning Crew
Prayer Team
Safety and Security Team
Tech and Media Team
The Hub Bookstore
Worship Team
Youth Ministry
Other
Guest Services
Welcome Center
Ushers
Greeters
Tech and Media
Tech Booth - Video & Lighting
Tech Booth - Audio
Photography or Videography
Photo or Video Editing
Graphic Design
Social Media
Online Hosting
Other
How can we pray for you?
Anything else you would like to share?
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