Please fill out as much information as you are comfortable with. Name * First Name Last Name Are you? Male Female Married Single Engaged Email * Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Date of Birth Spouse’s name, if married Names and ages of your children Have you been to Church On The Move before? Yes No How did you hear about Church On The Move? Website Social Media Someone Invited Me Other MY DECISION TODAY: I am committing my life to Christ I am renewing my commitment to Christ I want to be baptized I would like to talk with a ministry team member TELL ME MORE ABOUT Joining the church Small Groups Next Move Track Serving opportunities QUESTIONS, COMMENTS, OR PRAISE REPORTS PRAYER REQUEST IS YOUR PRAYER REQUEST For Prayer Team Confidential Thank you for being with us today!
