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Name

Spouse

Phone

Email Address

Birthday

Do you have children? Do you have children? Yes No

Do you need childcare? Do you need childcare? Yes No

How many children? How many children?12345678910

Best Time to Meet Best Time to Meet Sunday Morning Sunday Night Wednesday Night Other

Extracurricular Activities

Are your children involved in extracurricular activities? If so, what?

If you would like to be paired up with a couple/group from FBC please list their name/s below.

How would you rate your relationship with Jesus? How would you rate your relationship with Jesus?Don't know him.Still trying to figure it all out.Have you accepted Christ as your savior?Growing daily in his word.On fire and ready to tell the world about Christ!

Additional Questions