I'M NEW-SOY NUEVO

Welcome to 27th Street Revival Center! We are so glad you're here. Please take a moment to fill out this form so we can connect with you.

Bienvenido al Centro de Avivamiento de la 27! Nos alegra que estes aqui. Por favor, tomate un momento para completar este formulario para que podamos conectarnos contigo.

Name/ Nombre

Email/ Direccion de Correo Electronico

This address will receive a confirmation email

Phone/ Numero de Telefono

Preferred Language/ Idioma Preferible

Please select one option.

Espanol English Either

Are you visiting us for the First Time?/ Nos estas visitando por primera vez?

Please select one option.

Yes/Si No

Age/ Edad

Please select one option.

12-17 18-30 31-49 50+

Have you accepted Jesus as your personal Lord and Savior?/ Haz aceptado a Cristo como su Senor y Salvador personal?

Please select one option.

Yes/ Si Not yet/ Aun No I would like to/ Me gustaria hacerlo

How did you hear about us?/ Como te enteraste de nosotros?

Please select all that apply.

Friend or Family/Amigo o Familiar Social Media/ Redes Sociales Website/ Sitio Web Otro/Other

What are you interested in learning more about?/ En que te gustaria saber mas?

Please select all that apply.

Connect to Jesus/ Conocer a Jesus Baptism/ Bautismo Join a small group/ Unirte a un grupo pequeno Volunteering/ Voluntarios Church Events/ Eventos de Iglesia Church Vision

Are you interested in attending our NEXT STEP DINNER?/ Estas interesado en atender nuestra CENA DE PROXIMOS PASOS?

Please select all that apply.

Yes/ SI No

Prayer Request

I'M NEW-SOY NUEVO

Description

Please Fix the Following