Care Connect

WELCOME TO IHC

We are so excited to connect with you today! Please fill out this form so someone from our Care Team can connect with you! We're excited to get to know you and WELCOME YOU into our IHC Family!

First Name

Last Name

Email

Phone

Address 1

Address 2

Country

City

State

Zip/Postal Code

HOW MANY CHILDREN, IF ANY ARE IN YOUR HOUSEHOLD THAT ARE UNDER THE AGE OF 18 YEARS OLD?

I MADE A COMMITMENT TO CHRIST TODAY
YES
NO
OTHER

I WOULD LIKE TO GET BAPTISED
YES
NO

I WOULD LIKE TO SPEAK WITH A PASTOR
YES
NO

PRAYER REQUEST

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