Decision Card
Please fill out this form and click submit.
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Gender
*
Please select one option.
Male
Female
I am new to Elevate Life Church CT
*
Please select one option.
Yes
No
My Decision
I'm committing my life to Christ
Please select all that apply.
Yes
I'm renewing my commitment to Christ
Please select all that apply.
Yes
Other
I want to be baptized
Please select all that apply.
Yes
Submit
Description
Please fill out this form and click submit.
×
Please Fix the Following
