Connect Card Name * First Name Last Name Date of Birth MM DD YYYY Email * Phone (###) ### #### Address * Please share your address with us. We promise we won't show up on your doorstep uninvited. Address 1 Address 2 City State/Province Zip/Postal Code Country I am... Here for the first time today (either in person or online) Surrendering my life to Jesus Christ today Desiring to be baptized Interested in becoming a member of First Baptist Church Sharing a prayer request (please share below) Desiring to talk with someone personally Prayer Request If you are submitting a prayer request, please do so in the box below. Thank you for taking the time to fill out our connection information. This information has been shared with our leadership team and we will follow up as soon as possible.
