CALVARY BAPTIST CHURCH

YOUTH VISITOR INFORMATION

PLEASE PRINT THE FOLLOWING INFORMATION

NAME:                                                       

ADDRESS:                                                   

PHONE:                                                

DATE OF BIRTH:        -     -           (Age         )

Current Grade: 7 (_) 8 (_) 9 (_) 10 (_)11 (_) 12 (_) N/A (_)

Cell Phone # (optional) __________________________

E-mail (optional) _______________________________ 

Who To Contact In Case Of An Emergency:

Name:                                                        

Address:                                                     

Phone:                                                          

Do you actively attend church? YES (_) NO (_) 

If YES, Where ___________________________ 

Are you a member of a Sunday School Class? YES (_) NO (_)  

      If YES, Where ___________________________ 

Have you ever accepted Jesus as your Saviour? YES (_) NO (_)  

If NO, Would you like to speak with someone in private

about asking JESUS to come into your heart and having

eternal life in heaven?

 (_)  YES

 (_)  Not Sure

 (_)  Maybe, but I would like to know more.