Gender *
Select… Male Female
Phone Number *
Phone type Mobile Home Work Other
Are you interested in ministries available for your children? *
Please check all that apply
How did you hear about Solid Rock? *
Select… I was invited by a friend or co-worker I found the church website online I found the church on social media (Facebook, Instagram, Youtube, etc.) Other
How comfortable are you attending church services? *
Select… I don't really attend church often I go to church once or twice a year I go to church once or twice a month I go to church almost every week
Is there something you would like us to pray with you about?
Did you make the decision to give your life to Jesus today? *
Select… Yes I did! No, but I already did that before today! No, I'm not ready to do that yet
Is there anything else you would like to share with us about yourself?
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