JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
First SDA Church: Where healing happens one heart at a time.
Connect with us!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Spouse's Name
Your answer
Children(s) names & age(s)
Your answer
Your Age Group
*
Under 20
20s
30s
40s
50+
Address
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Phone
Your answer
Email
Your answer
Is this your....
*
1st visit
2nd visit
3rd visit
I attend pretty regularly
How did you hear about us?
*
Friend/Relative/Co-worker
Website
Social Media/YouTube
Other
I am a member of the SDA Church
I am a former member of the SDA Church
Please check all that apply to you:
*
I dedicated my life to Christ for today for the first time.
I re-dedicated my life to Christ today.
I'm interested in getting baptized.
I'm interested in joining a small group.
I would like to talk to a pastor.
I want to become a member.
I want to volunteer for a ministry.
I would like to be contacted by a Leader.
I would like to have Bible studies.
I would like to participate in the WatchCare Initiative
Required
Do you have any prayer requests?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
