New Students at First Baptist Belton

Welcome to Our Student Ministry!
You being here matters to us! 😎

We want to use this form to collect some info from you so we can welcome you and stay in contact!
What is your FIRST AND LAST name?*
Birthday*

MonthDayYear
Date
When are you attending?*

Sunday MorningSunday Night (Life Groups)Wednesday MidweekSpecial Event
Who invited you to come? (If you came on your own, leave this question blank.)
Grade*

6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th Grade
School Name*
Student Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Can we add you to our student text message group?*

YesNo
Student Email
example@example.com
Parent Name (Please include first and last name in case of an emergency.)*
Parent Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Your Mailing Address

Street Address

Apartment or Unit Number (if applicable)

CityState / Province

Postal / Zip Code
Send us a Selfie

This is TOTALLY OPTIONAL, but we’d love for you to take a selfie or upload your own photo of yourself so we know what you look like.
Cancelof
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Welcome to Our Student Ministry!