Registration Form: E. 7th Baptist Church, Graffiti
Thank you for filling out our Registration Form. If you plan on visiting the church for the 1st time since May 2021, please fill this out. The red asterisks indicate required fields.  Please email info@graffitichurch.org if you have any questions.

We appreciate your cooperation.

Many Blessings,
Pastor Kareem and The Graffiti Staff
Last Name *
First Name *
Address *
City *
State *
Zip Code *
Phone number *
Have you been vaccinated? 
Clear selection
Question #1 -Have you experienced Covid-19 symptoms in the last 10 days such as fever, coughing, shortness of breath, or sore throat? If so, please join us for our online services. *
Question #2 -Have you tested positive for Covid-19 or been exposed to someone who tested positive in the past 10 days? If yes, please join us for our online services. *
Please let us know your area of interest(s)
If you would like to share your birthday (Month and Day is fine) we would love to have you on our celebration list.
MM
/
DD
Thank you for taking the time to fill out our Registration Form. When you enter our building, you will not need to repeat all of your information. We invite you to bring your own water bottle and Bible. Thanks Again.                      -Graffiti, A Church That Serves. Be A Friend, Bring A Friend.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy