Northridge Baptist Church of Des Moines

Communication Card

Use this form to let us know about decisions or prayer requests, or to let us know you're here.
Please complete the following fields, then click Submit.

Your Name (Required)

I am a: (Required)

First Time Guest

Second Time Guest

Regular Attender

Member

Faith Student

Cell or Email (Required)

How to Reach Me

Spiritual Prayer Requests or Praise

How can we pray for you?

May we share this prayer or praise with congregation? (Required)

Yes; No

My Decision Today: I want to...

Let us know if you made a decision today or if you want us to follow-up with you.

Commit my life to Jesus

I believed on Jesus as my Savior

Get baptized

Become a member

Join a small group

Speak with a pastor

Volunteer

I'm willing to help where needed

Renew my commitment to Christ

How to know Jesus as my Savior

How to grow in my relationship with the Jesus

How to join the church family

Why Did You Choose Our Church?

What Role Has Church Played In Your Life?

Your Age Group or Current School Grade

Nursery (0-1)

Preschool (2-4)

Children (5-11)

Middle School (12-14)

High School (15-18)

Young Adult (19-24)

Adults (25-34)

Adults (25-44)

Adults (45-54)

Adults (55-64)

Senior Adults (65+)

Your Address:

Names of Children Living at Home and Birthdates:

Add me to the Northridge News list? If yes, enter your email address in comments.

We will send out emails about upcoming events and/or prayer requests about once or twice a week.

Questions? Comments? Email address..

Suggestions

Northridge Baptist Church of Des Moines

3700 6th Avenue, Des Moines, IA 50313