The Journey About You Form THE JOURNEY ABOUT YOU FORM Journey About You Form Name * Enter your full name. Email * Gender * Female Male Address * Address Address Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Date of Birth * Marital Status * Married Single Wedding Anniversary * Home Phone Mobile Phone Medical/Allergies Information Preferred Method of Communication * Email Mobile Home Facebook Twitter Web URL Facebook, Twitter or Web URL Are you a partner with Tommy Bates Ministries? * Yes No News & Information Sign me up for the All-Call and email blasts Unique Talents You Possess (sewing, welding, finances, cooking, construction): Please List Previous Church You Attended * Names of Members living in your Household * List Name/DOB/Relationship (one per line please) Have you committed your life to Christ? * Yes No Have you been baptized? * Yes No Are you a part of a Life Group? * Yes No Would you like more information on small groups? * Yes No Do you serve? * Yes No What serving team? Can you serve weekends? * Yes No Weekdays? * Yes No Does your spouse attend Community Family Church? * Yes No Do they serve? * Yes No What serving team? Family Members Who Attend Community Family Church (living outside of your household)? List Name/Relationship (one per line) Friends Who Attend Community Family Church? Name and how you know them. Your Testimony 100 words or less (share your testimony of how you came to know Christ & about yourself) What does 3+4 equal? If you are human, leave this field blank. Submit
