Form test – Summit Baptist Church

Here is the form

Builders for Christ
Short-Term Missions Agreement
Camp Grace
Roberta, GA

Select Desired Mission:

(Shift-Click allows multiple selections)

Name:
Address:
City, St Zip:
Phone:		Date of Birth:
Email:		Shirt Size:
	Arrival Date:	Departure Date:

Please list any medical conditions that may limit your activity while on mission:

Emergency Contacts:

Name:		Phone:
Name:		Phone:
Name:		Phone:

Lodging:
	FreeHousing:	Camping:	Other:

By selecting this checkbox, I agree to conduct myself in a Christ like manner at all times to follow the instructions of our team leader and maintain a safe outlook for myself and those around me that I may be working with. I further agree to inform my team leader of any change in my personal plans at it pertains to this mission.

Electronic Signature:

WELCOME 2

COMMUNICATION CARD

Name

Email

COMMUNICATION CARD

Name

Email

Phone

Address

Age Group
12-1718-2930-39
40-4950-5960+
First Time GuestReturning Guest
Out of Town GuestMember
MarriedSingleStudent

Names of Children
MF
MF
MF
MF[

My Responses Today
I Would Like to Follow Christ as my Lord and Savior
I Have questions and would like to speak with someone about my Spiritual Journey
I would like to be Baptized as a follower of Christ
I would like to know more about membership at Summit
I would like more information about Connections Small Group Ministry
I am ready to serve! Contact me about:

I would like to attend the next newcomers meal

Best Way To Reach Me
Phone CallTextEmail
LetterNot Now

How Did You Hear About Summit

Prayer Request/Comments
Confidential

MY RESPONSES TODAY
First Time GuestReturning Guest

Builders for ChristShort-Term Missions AgreementCamp Grace Roberta, GA

WELCOME 2

COMMUNICATION CARD

COMMUNICATION CARD

Builders for Christ
Short-Term Missions Agreement
Camp Grace
Roberta, GA