Page 4 | Reclaim Church of the Christian and Missionary Alliance

Use this form to let us know about decisions you have made today or to request to be contacted by one of our staff members.

Your Name (Required)

Please provide a valid email address. (Required)

I am a: (Required)

First Time Guest

Second Time Guest

Regular In Person Attender

Regular Online Attender

Member

Prayer Requests

How can we pray for you?

Can this prayer request be shared with the whole church?

My Decision Today: I want to...

Let us know if you made a decision today or if you want us to follow-up with you.

Commit my life to Jesus

Get baptized

Renew my commitment to Christ

Become a member

Join a small group

Speak with a pastor

Share a testimony of how God is working in my life

Do you have any questions, comments, or a short testimony you want to share?

Reclaim Church of the Christian and Missionary Alliance