Name (Optional)

First Name

Last Name

Name *

First Name

Last Name

Phone *

(###)

###

####

How did you end up at Redemption?

Facebook Ad

Mailer

Word of Mouth

Google Search

Personal Invite

Billboard

Prior to attending Redemption, how often did you attend church?

Every week

Every other week

Once a month

Rarely

Are you involved in something outside of Sunday mornings?

Please check all that apply.

Volunteer Team

Group/Bible Study

Wednesday Nights

No and I am content

No and I want to be more involved

How old are you?

18 and under

19-27

28-39

40-54

55-69

70 and older