LA MESA — Connect

First time visiting?

Your Information

First Name

Last Name

Phone

Street Address

City

State

ZIP

Birthday (optional)

Today I'd Like To

Give my life to Christ Renew my commitment Talk with a pastor or leader

I'm Interested In

Baptism Membership Discipleship

Prayer Request

Prayer Request / Care Need

Category

Urgency

Brief Description (optional)

General coordination info — included in AI case summaries and synced to Basecamp.

Prayer Request (optional)

Kept out of AI summaries and Basecamp — stays only in this app.

⚠ Confidentiality Notice Do not include sensitive details — such as information about minors, active legal matters, specific medical diagnoses, financial account specifics, or abuse disclosures. Such matters must be communicated directly to pastoral leadership. This will be reviewed by authorized care team members only.

Your information is kept private and used only to help our church serve you.

Welcome!

Your Information

Today I'd Like To

I'm Interested In

Prayer Request

Prayer Request / Care Need

Thank You!