Altar Experience CardDate 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 / Female Male Female Marital Status Single Married 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 Altar Assistant Email CommentsPhoto of personMax. file size: 128 MB.NameThis field is for validation purposes and should be left unchanged. Like Tweet
