Virtual Connect Card
"We are Kingdom People impacting His Kingdom by loving God and others."
* Required
Welcome!
first time guest
second time guest
third time guest
regular attender
member
Other:
your name
*
Your answer
your birthday:
MM
/
DD
/
YYYY
spouse's name:
Your answer
spouse's birthday
MM
/
DD
/
YYYY
number of children:
Your answer
children's ages:
Your answer
your address:
Your answer
your mailing address (if different)
Your answer
your phone number:
Your answer
your email address:
Your answer
Would you like us to change your information on file?
Yes
No
Clear selection
today...
i'm commiting my life to Christ
i want to be baptized
i'm renewing my commitment to Christ
i'd like to join this church family
i'm willing to help where needed
i'd like to know more about:
joining a small group/Sunday School
Nursery Ministry
Children's Ministry
Student Ministry
College/Career Ministry
Women's Ministry
Men's Ministry
Senior Adult Ministry
Music/Media Ministry
Missions
Hope Center
i'd like to
sign up for a new members class
be contacted by a pastor
comments, requests, and prayer needs:
Your answer
Submit
Page 1 of 1
Never submit passwords through Google Forms.
This form was created inside of First Baptist Church of Bushnell.
Report Abuse
Forms
