Connect With Us | Jesus The Savior Church

Connect With Us!

Fill out the form below to connect with us as you visit our church, or let us know how we can pray for you!

Name (Required)

Email Address (Required)

Phone Number

Gender/Sex (Required)

Male

Female

Birthday (Required)

Your Address (Required)

I am a: (Required)

First-time Guest

Second-time Guest

Regular attender but not a member

Member

How did you first hear us?

Online

Poster/Card/Flyer

Family

Friends

Other

Prayer Request(s)

How can we pray for you?

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

Questions? Comments?

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Jesus The Savior Church

58 James Street, Bergenfield, NJ 07621

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