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Earlington FBC Guest Connection
Title:
*
Mr.
Ms.
Mrs.
Dr.
Name (With Middle Initial):
*
Age:
*
0-12
13-18
19-23
24-30
31-40
41-50
51-65
65-70
71-75
75+
Status:
*
Single
Engaged
Married
Single Again
Widowed
Spouse Name:
Spouse Age:
0-12
13-18
19-23
24-30
31-40
41-50
51-65
65-70
71-75
75+
Child 1 Name:
Child 1 Age:
0-12
13-18
19-23
24-30
31-40
41-50
51-65
65-70
71-75
75+
Child 2 Name:
Child 2 Age:
0-12
13-18
19-23
24-30
31-40
41-50
51-65
65-70
71-75
75+
Child 3 Name:
Child 3 Age:
0-12
13-18
19-23
24-30
31-40
41-50
51-65
65-70
71-75
75+
Child 4 Name:
Child 4 Age:
0-12
13-18
19-23
24-30
31-40
41-50
51-65
65-70
71-75
75+
Child 5 Name:
Child 5 Age:
0-12
13-18
19-23
24-30
31-40
41-50
51-65
65-70
71-75
75+
Address:
*
Home Phone:
*
Cell Phone:
Primary Email:
*
May we email you?(Email addresses are confidential and will not be spammed)
*
Yes
No
May we text you?(Cell phone numbers are confidential and will not be abused)
*
Yes
No
Do you have a home church that you attend regularly?
*
Yes
No
If you answered yes, please list the name and address below:
I would like...
*
more information on becoming a follower of Christ
someone to contact me about following Christ as my Savior
information on how to become a member of Earlington First Baptist
someone to contact me personally
someone to pray for me or a need I have
nothing at this time
Please send me information on the following: (Check all that apply)
*
Giving/Tithing
Membership
Baptism
Salvation
Beliefs of Earlington First Baptist
Nursery Ministry
Children's Ministry
Youth Ministry
Singles Ministry
Young Adult Ministry
Couples Ministry
Adult Ministry
Senior Adult Ministry
Areas to serve
Mission Work of EFBC
Nothing at this time
Prayer Requests:
Other Comments/Suggestions:
Were you greeted warmly on your visit?
*
Yes
No
If you answered no, please explain so we can become more like Christ:
How did you hear about Earlington First Baptist, and decide to join us in worship? (Check all that apply)
*
I live in this community and decided to come
Because of a personal contact with a member through a ministry
Because of a friend who is a member here
Online search
Passing through
Direct mail
Other
If you answered "Other", or "through a ministry event", please explain below:
Thank you for choosing to worship with us at Earlington First Baptist, and for taking the time to register as our guest. If you would like to receive an email confirmation of your registration, please enter your email address below.
Submit