Visitor Card
Date:
/
Month
/
Day
Year
Date
Service Attended:
8:00 a.m.
11:00 a.m.
Name:
*
Address
Street Address
Street Address Line 2
City, State & Zip Code
State / Province
Postal / Zip Code
Home Phone:
*
Email:
*
example@example.com
Age Group:
*
under 18
18-21
22-30
31-45
46-64
65+
How did you hear about Clifton Park?
*
From family member/friend:
Internet/Web Search
Attended Event
Other
Check all that apply:
I would like to have a closer relationship with God.
I am in need of a church home.
I would like to become a member of this church.
I would like to receive a visit from a church leader.
I am in need of prayer.
Prayer Request:
Submit
Should be Empty: