Connection Card | Coquille Church of the Nazarene

Use this form to let us know about decisions or prayer requests, or to let us know you're here.

We are truly a family and want to connect with you, pray with you, and walk alongside you.

Please complete the following fields, then click Submit.

Your Name (Required)

I am a:

First Time Guest

Member of the Community

Regular Attender

Church Member

Prayer Requests

How can we pray for you?

I am reaching out today because:

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

Questions? Comments?

How would you like us to contact you? (Required)

Coquille Church of the Nazarene