Name * First Name Last Name Phone * (###) ### #### Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Birthday 🥳 MM DD YYYY Is this your 1st time here at City Lift? Yes, this is my first time. No, I have been here before. How can we help you? Check all that apply I accepted Jesus today I want to be baptized I want to join Next Steps I want to join a Lift Group I want to join the City Team I am in need of prayer How can we pray for you? How did you hear about us? Thank you! Subscribe To Receive Updates Sign up with your email address to receive news and updates. Email Address Sign Up We respect your privacy. Thank you!
