First Name - Nombre

Last Name - Apellido

Email

Phone Number - Número Telefónico

Address - Dirección

Apartment, suite, etc.

City - Ciudad

State - Estado

Zip Coda - Postal

How many times have you visited our church? - Cuantas veces has visitado nuestra iglesia?

This is my first time. - Primera vez.

A few times - Varias veces.

I would like to learn more about (check all that apply): - Quiero aprender mas sobre (elige todas las que apliquen):

Baptism - El Bautismo

Volunteering - Servir

Membership - Membresía

Small Groups - Grupos Pequeños

Jesus

How did you hear about us? - Como aprendiste de nosotros?

Anything else you'd like to share? - Algo mas que quieras compartir?