Connect Card

1

Name* This field is required.

First Name

Last Name

2

Phone Number* This field is required.

Please enter a valid phone number.

3

Email

example@example.com

4

Gender* This field is required.

Male

Female

5

Major

7

Do you actively attend another church in Tuscaloosa?* This field is required.

YESNO

8

How can we welcome you?Please select everything that looks helpful!

I'd like to know more about how to have a personal relationship with God.

I'd like to be contacted about joining a family group.

I'd like to meet with a student leader.

I'd like to meet with a staff member.

I'd like to know more about First College / First Baptist Church.

Other

9

Is there any way we can be praying for you?

10

How did you hear about us?

Friend

Internet

Social Media

Other

11

Which friend told you about us?

12

Hidden Field