Concord Students Decision
Would you like more information about becoming a Christian? Fill out this form and we will be in touch! * Filling this form out does not make you a Christian.*
Student Name
*
First Name
Last Name
Student Phone
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student Grade (2021-2022 School Year)
*
6th
7th
8th
9th
10th
11th
12th
School
Parent Name
*
First Name
Last Name
Parent Phone
-
Area Code
Phone Number
What decision did you make today?
*
Today I became a Christian.
I am already a Christian but I want to be baptized.
Submit
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