Crossroads Worship Center

Guest Registration Card

Use this form to let us know about decisions or prayer requests, or to let us know you're here. Please complete the following fields, then click Submit. We'd love to hear from you and connect with you!

Your Name (Required)

What is your preferred name?

Contact info: (Required)

Let us know how to get in touch with you.

I am a: (Required)

First Time Guest

Second Time Guest

Online visitor

Other (describe in comments section below)

Prayer Requests

How can we pray for you?

My Decision Today (select one or more)

I want to:

Commit my life to Jesus

Get baptized

Renew my commitment to Christ

Request membership application

Join a small group

Speak with a pastor or elder

Questions? Comments?

Is there anything else you want us to know?

Crossroads Worship Center

9530 Federal Rd, Howard City, MI 49329