Altar Experience CardDate* MM slash DD slash YYYY Service*11:15 am6:30 pmOtherName of person who had an Altar Experience* First Last Address of person who had Altar Experience Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Home PhoneMobile / Cellular PhoneEmail Male / Female* Male Female Demographic* Single Married Young Adult (18-30) Youth Child Birthdate Month Day Year Date Repented 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? Yes No Date Baptized MM slash DD slash YYYY Date received the Holy Ghost MM slash DD slash YYYY Refilled? Yes No How did you hear about our church?Friend or relativeWebsiteSocial MediaOtherIf other, how did you heard about our church Friends or relatives in this church Person(s) who invited you to church Have you attended a Connection Group from our church? Yes No Which group(s) have you visited? Altar Assistant Name First Last Person Filling Out This Altar Form First Last CommentsPhoto of personMax. file size: 128 MB.EmailThis field is for validation purposes and should be left unchanged. Δ Like Tweet
