::: Flamingo Road Church Cooper city Campus Request Application to Serve :::

Communication Card

INTERNET CAMPUS

I / We attended:

Name:

Date of Birth

Spouse:

Date of Birth

Street Address:

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Zip Code:

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Phone Number:

Cell Number

E-mail:

Occupation

Please Tell us about yourself:

I am a:

I am:

My church
background is:

How did you hear about FRC? (Please check all that apply)

TV Mailer Billboard FRC Website Driving By
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Other:

Please keep me in the loop with regular e-mails:

Please update my contact information:

How was your experience?

Comments:

Prayer Needs:

How can we help you?

I'd like more information about starting a relationship with Christ

I've made a first commitment today to follow Jesus

I'd like more information about becoming a member of FRC

I'd like to sign up for online Baptism.

I'm interested in joining a Small Group

I'd like to serve in the following ministry/ministries:

	Preschool		Childrens		Students
	Greeters/Ushers		Food Services		Parking Team

I'd like to serve on the Team.

I'd like to receive monthly giving envelopes in the mail.

I'd like more information about:

Flamingo Road Church is committed to protecting your privacy. We will not share your data, including your email address, with any organization.