Welcome, we’re so glad you’re here!

GLC is a place you can belong and know how important YOU are!

Name *

First

Last

Please list Spouse and Children who attended with you. *

For Children, please add their grade and age.

Street Address *

City *

State / Zip Code *

Phone Number *

Email *

We're so glad your here! How did you hear about us? *

Thank You for being with us, we would like to GIVE BACK $5 to the Community on your behalf! Please select the Charity you would like to give to. Also, during your visit, don't forget a free cup of coffee! *

GIVE BACK $5 TO THE COMMUNITY!

We would like to pray for you and your family. Do you have anything you would like prayer for?

Welcome, we’re so glad you’re here!

GLC is a place you can belong and know how important YOU are!

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