Date of Inquiry: >>
Name: >>
Email Address: >>
City: >>
State: >>
Decision - Information: >> I am making a first time commitment to Christ.
I am renewing my commitment to Christ.
I am interested in being baptized.
I am interested in becoming a member.
I am interested in enrolling in Bible Study.
I am committing myself to full-time Christian svc.
I am committing myself to full time missions.
I will serve where needed.
I would like to Register for Vacation Bible School Registration Kickoff Saturday June 21 fm 10 a.m. to 2 p.m. VBS June 23 thur 27. Supper at 5 p.m. to 6 p.m. VBS 6 p.m. Thur to 8 p.m.
Are you a church member? >> Yes
No
Church: >>
Guest: >> First time
Second time
I am a guest of: >>
Are you: >> New in the community
visiting
Age or Grade Groups: >> Preschool B-1 thru 5
Children Greades K-1 thru 6
Youth Grades 7 thru 12
Adults Ages 18 thru 50
Senors 50 +
Requests: >>
I would like information on: >>

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