I Said Yes to Jesus

Name

Gender

Male Female

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Phone

Birthdate

For "Birthdate," please list your birthdate with the year you were born. Don't worry, we only ask for this because we love to celebrate our guests!

Which decision did you make today?

I made a decision to follow Jesus for the first time today. I made a decision to rededicate my life to Jesus.

How can we pray for you?

Description

Please complete this form so we can partner with you and help you take the next step in your journey with Jesus!