Next Steps - Visitor Form Visitor form for Next Steps, when completed, is emailed to Pastor Emily HiddenNext Steps: Sync an Email Add-OnTo get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020/). Important: Delete this tip before you publish the form.Date MM slash DD slash YYYY About You and Your SpouseCheck all that apply: First time guest Returning guest New to area Would like a visit Would like to learn more about this church Other Married Single Single parent Widowed College High School Middle School Age: 20s 30s 40s 50s 60s 70s + Date of Wedding Anniversary, if currently married. MM slash DD slash YYYY Your Name First Middle Last Birth Date MM slash DD slash YYYY Your Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone (Home)Phone (Work)Phone (Mobile)Your Email Address Email Address Confirm Email Address Preferred Method of ContactEmailPhone (Home)Phone (Work)Phone (Mobile)Best Time to Call YouSelect A Time12:00 am12:30 am1:00 am1:30 am2:00 am2:30 am3:00 am3:30 am4:00 am4:30 am5:00 am5:30 am6:00 am6:30 am7:00 am7:30 am8:00 am8:30 am9:00 am9:30 am10:00 am10:30 am11:00 am11:30 am12:00 pm12:30 pm1:00 pm1:30 pm2:00 pm2:30 pm3:00 pm3:30 pm4:00 pm4:30 pm5:00 pm5:30 pm6:00 pm6:30 pm7:00 pm7:30 pm8:00 pm8:30 pm9:00 pm9:30 pm10:00 pm10:30 pm11:00 pm11:30 pmHave you been baptized?YesNoBaptizism Date MM slash DD slash YYYY Have you been confirmed?YesNoConfirmation Date MM slash DD slash YYYY Spouses Name First Middle Last Spouses Birth Date MM slash DD slash YYYY Phone (Home)Phone (Work)Phone (Mobile)Spouses Email Address Enter Email Confirm Email Spouses Preferred Method of ContactEmailPhone (Home)Phone (Work)Phone (Mobile)Best Time to Call YouSelect A Time12:00 am12:30 am1:00 am1:30 am2:00 am2:30 am3:00 am3:30 am4:00 am4:30 am5:00 am5:30 am6:00 am6:30 am7:00 am7:30 am8:00 am8:30 am9:00 am9:30 am10:00 am10:30 am11:00 am11:30 am12:00 pm12:30 pm1:00 pm1:30 pm2:00 pm2:30 pm3:00 pm3:30 pm4:00 pm4:30 pm5:00 pm5:30 pm6:00 pm6:30 pm7:00 pm7:30 pm8:00 pm8:30 pm9:00 pm9:30 pm10:00 pm10:30 pm11:00 pm11:30 pmHave you (Spouse) been baptized?YesNoBaptizism Date MM slash DD slash YYYY Have you (Spouse) been confirmed?YesNoConfirmation Date MM slash DD slash YYYY Dependents (living in your home)1st Dependent First Middle Last (if different from yours) Birth Date MM slash DD slash YYYY School GradePre-School1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade (Freshman)10th Grade (Sophmore)11th Grade (Junior)12th Grade (Senior)2nd Dependent First Middle Last (if different from yours) Birth Date MM slash DD slash YYYY School GradePre-School1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade (Freshman)10th Grade (Sophmore)11th Grade (Junior)12th Grade (Senior)3rd Dependent First Middle Last (if different from yours) Birth Date MM slash DD slash YYYY School GradePre-School1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade (Freshman)10th Grade (Sophmore)11th Grade (Junior)12th Grade (Senior)4th Dependent First Middle Last (if different from yours) Birth Date MM slash DD slash YYYY School GradePre-School1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade (Freshman)10th Grade (Sophmore)11th Grade (Junior)12th Grade (Senior)My Home Church: I am a Guest of: Your Comments/Questions