Page Title

Hello there!

Help us get to know you better and you can
get to know us better. Please fill out this page
then hit the submit button at the bottom. Thanks

Date:

Name:

Spouse:

Address:

City:

State:

Zip:

Phone:

Best time to call:

1st and 2nd time guest?

Are you a member of a church?

Church name

City:

State:

How many are in each age group?

Birth to age 1:

Age 2 -3:

Age 4 -5:

Grades K - 1st:

Grades 2nd - 3rd:

Grades 4th - 6th:

Grades 7th - 8th:

Grades 9th - 10th:

Grades 11th - 12th:

20's:

30's:

40's:

50's:

60's+

Please check all that apply:

I'm new in the community

I am making a 1st time commitment to Christ

I am renewing my commitment to Christ

I am interested in being baptized

I am committing myself to full time Christian service

I will serve where needed

I would like information on:

How to become a Christian

How to become a member of this congregation

Adult ministries

Youth ministries

Preschool/children ministries

Music ministries

Requests:

I would like to speak to a minister

I would like more information on this church

I would like to receive Pastor's e-mail
updates............my e-mail address is:

Prayer requests and other needs:

Faith Baptist Church 311 Jackson Drive Covington, Va. 24426 540-962-6335