Online Connect Card

Welcome!
Welcome to Fairview Baptist Church! Please fill out this on-line connect card if you're visiting with us today, new here and haven't filled out a connect card, or need to update your information.

Please Check

Please select all that apply.

First Time Guest Returning Guest New To The Area Prayer Request Update My Info

Head of Household

Name

Are you

Please select one option.

M F

Date Of Birth

Phone

Is this a:

Please select one option.

Home/Landline Mobile Work/Other

This address will receive a confirmation email

Address

Spouse

Spouse Name:

Are you

Please select one option.

M F

Date Of Birth

Phone

Is this a

Please select one option.

Home Phone/Landline Mobile Work/Other

Child #1

Child #1 Name

Date Of Birth

Grade (current or most recently completed)

Allergies

Child #2

Child #2 Name

Date Of Birth

Grade (current or most recently completed)

Allergies

Child #3

Child #3 Name

Date Of Birth

Grade (current or most recently completed)

Allergies

Child #4

Child #4 Name:

Date Of Birth

Grade (current or most recently completed)

Allergies

Questions, Comments, Prayer Requests

Would you like these to remain confidential? (seen by staff only)

Please select one option.

Yes No

Next Steps

Please select all that apply.

I'd like more information on a personal relationship with Jesus I'd like more information on Baptism I'd like more information on Life Groups I'd like more information on Serving Opportunities I'd like more information on Fairview Baptist Church Other - please have a staff member call me

Online Connect Card

Description

Please Fix the Following