Online C.A.R.E. Card

Date:    Mr. Mrs. Miss  Your Name:

Mailing Address: 

City:  State:     Zip: 

Phone:    Birthdate:    Email: 

Are you a...

Member of Lee Road Baptist Church

Visitor  If so, who were you a guest of

If you are a member of another church: 

What church?  in City? and State

Current School Grade (if applicable)                            OR                                         Your Age Group

           Please choose one Kindergarten 1 2 3 4 5 6 7 8 9 10 11 12 College                                                                                    Please Choose One 18-23 24-29 30-34 35-39 40-44 45-49 50-54 55-59 60+

Please indicate if you are Single  or  Married

Names of children living at home & their birthdates please:

        NAME                          BIRTHDATE                   NAME                       BIRTHDATE

1.  2.

3.  4.

5.  6.

My Decision Today

I'm accepting Christ as my Savior

I want to be baptized

I'm renewing my commitment to Christ

I'm willing to help where needed

I'd like to talk to a staff member

I'd like information on

How to begin a relationship with Christ

How to join this church family

Building program

Sunday Morning Bible Study

Preschool Ministry

Children's Ministry

Nursery Volunteer

Student Ministry

Singles' Ministry

Women's Ministry

Men's Ministry

Senior Adult Ministry

Adult Choir

Children's Choir

Multimedia Volunteer

Prayer Requests or Needs

Help us care for you and others by communicating any prayer requests or needs that would allow us to more effectively minister to you.

For C.A.R.E. Team Pastor Only Confidential