Grace Crossing - A Community Church of Christ

Life Group Connection Form

Thank you for taking a moment to fill out this short form. The information collected here is designed to help us get to know you better. None of your responses are mandatory and all information collected will be kept safe, private and confidential.

Your Name

Husband's First Name
Wife's First Name
Last Name
# of Years Married
# of Children

Your Name
# of Children


Street Address
City
State
Zip
E-mail
Home Phone #
Cell Phone #



When you are finished with this form please press Send Information.