Name *

First Name

Last Name

Gender

Male

Female

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone

Country

(###)

###

####

Mobile Phone *

Country

(###)

###

####

Do You Wish To Receive Text Messages? *

Yes

No

Birthday *

MM

DD

YYYY

Check What's Relevant *

Single

Single Parent

Married

Married With Children At Home

Widowed

Anniversary Date

MM

DD

YYYY

How Did You Hear About North County Church? *

Friend or Family

Website

Google (or other search engine)

Other

How Would You Describe Your Relationship With Christ? *

Seeker/ Curious

New Christian

Longtime Follower of Christ

I'm Not Sure

Baptism *

I have not been baptized

I have been baptized

How were you baptized?

Sprinkling/ Pouring

By Immersion

If married, Spouse's Name

First Name

Last Name

Does your spouse attend North County Church?

Yes

No

First Child's Name

First Name

Last Name

First Child's Birthdate

MM

DD

YYYY

Second Child's Name

First Name

Last Name

Second Child's Birthdate

MM

DD

YYYY

Third Child's Name

First Name

Last Name

Third Child's Birthdate

MM

DD

YYYY

I'm/ We're interested in hosting or help start a LIFE Group

I'm interested in a Compass Group