Welcome to Channel
If this is your first time with us, please fill out this form for a welcoming gift!
* We at Channel take your privacy seriously. We will never share your information to others or third party advertisers.
* Required
First Name
*
Your answer
Last Name
*
Your answer
Facebook
Your answer
Email
Your answer
Phone
Your answer
Address
Your answer
Birthday
MM
/
DD
Job/Martial Status
Student
Working
Non-Working
Single
Married
Children
Other:
Your understanding of Christianity
This is my first time
I'm interested
I'm still seeking
I'm a Christian
Clear selection
How did you hear about us?
Facebook
Email
Postcard
Web Search
Event / Small Group
Family (Please fill the name in the blank below)
Friend (Please fill the name in the blank below)
Other:
I want to ...
Know God and have a personal relationship with Jesus
Accept Jesus as my personal Savior today
Be baptized
Know more information about ministry at Channel
Know more information about serving at Channel
Other:
Prayer Requests | Comments
"If you believe, you will receive whatever you ask for in prayer" Matthew 21:22
Keep private
How can we pray for you?
Your answer
Channel Church |
channelchurch.org
|
info@channelchurch.org
| 510.224.5546
Submit
Never submit passwords through Google Forms.
This form was created inside of Channel.
Report Abuse
Forms