Become a Member of FIBC

First Time Guest of FIBC
We are excited about your decision to visit FIBC.

Please fill out the information below and you will be taking your first step of many in your walk of faith here at FIBC.

Welcome to FIBC!
Submission Date*

MonthDayYear
Date
I am accepting Jesus Christ as my personal SaviorI am accepting or have accepted Jesus Christ as my personal Savior and I want to be baptizedI am a Christian and I want to unite with FIBC
Your Name*

PrefixFirst NameLast NameSuffix
Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Cell Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Your Home Phone Number (a landline)
Please enter a valid phone number.Format: (000) 000-0000.
Your Email Address*
example@example.com
By phoneBy text messageBy email
Your Date of Birth*

MonthDayYear
Date
Your Gender*
Marital Status*
If married, will your spouse be joining FIBC?
Spouse Name

First NameLast Name
Spouse Date of Birth

MonthDayYear
Date
Spouse Gender
Spouse Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
By phoneBy text messageBy email
Spouse Email Address
example@example.com
Which service prompted your decision?*
If other, tell us what service/event
Are there individuals under 18-years-old that will be joining with you?*
Child/Youth #1 Information
Child/Youth #2 Information
Child/Youth #3 Information
Child/Youth #4 Information
Child/Youth #5 Information
Should be Empty:

First Time Guest of FIBC