Visitor Registration:

Date of Your Visit:

Please Check Each That Applies:

First Time VisitorReturning GuestNew To The Area

Services Visited:

Sunday SchoolSunday AM WorshipSunday PM WorshipWednesday WorshipOther

Update Contact Preferences:

Contact PreferencesContact Information

Your Name

PLEASE LET US KNOW HOW YOU PREFER TO BE CONTACTED

Mail:

EmailPostal ServiceMaybe later

Phone:

CallTextMaybe later

Personal Visit:

Pastoral Visit in Our HomeMember Visit in Our HomeVisit Pastor and Family in Their HomeSunday Lunch With PastorMaybe later

PLEASE PROVIDE THE INFORMATION WE WILL NEED IN ORDER TO CONTACT YOU ACCORDING TO YOUR SELECTED PREFERENCES:

Your Email Address:

Your Alternate Email

Contact Number

House number and Street

City

State

Zip Code

WHERE DO YOU USUALLY ATTEND CHURCH?

None

PLEASE TELL US HOW YOU HEARD ABOUT LIGHTHOUSE BAPTIST CHURCH (Select each that applies)

By Invitation? Who Were You Invited By?

Heard Pastor Scheidbach on the radio: YesNo

Visited the Church Website: YesNo

Received a brochure or card from the church: YesNo

Other:

Thank you for completing the connection registration form. We will keep all your personal information secure and we will contact you according to your selected preferences.

DO YOU HAVE A QUESTION FOR US?

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