Altar Experience CardDate Date Format: MM slash DD slash YYYY Service11:15 am6:30 pmOtherName of person who had an Altar Experience First Last Address of person who had Altar Experience Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Home PhoneMobile / Cellular PhoneEmail Male / FemaleMaleFemaleMarital StatusSingleMarriedYouthChildBirthdate MM DD YYYY Date Repented Date Format: MM slash DD slash YYYY If NOT getting baptized today, have you ever been baptized in the name of Jesus by full immersion in water?YesNoDate Baptized Date Format: MM slash DD slash YYYY Date received the Holy Ghost Date Format: MM slash DD slash YYYY Refilled?YesNoHow did you hear about our church?Friend or relativeWebsiteSocial MediaOtherIf other, how did you heard about our churchFriends or relatives in this churchPerson(s) who invited you to churchHave you attended a Connection Group from our church?YesNoWhich group(s) have you visited?Altar Assistant Name First Last Altar Assistant Email CommentsPhoto of personEmailThis field is for validation purposes and should be left unchanged. Like Tweet
