RBC ONLINE CONNECT CARD
Please fill out this form and click submit.
WELCOME
Are you new to Ridgefield Baptist, wanting to get more connected, or maybe just wanting information about us? We'd love to connect with you.
Today's date
*
Name
*
Email
*
This address will receive a confirmation email
Preferred Phone
Other Phone (if applicable)
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
Would you like to receive weekly emails about what's new at Ridgefield Baptist?
*
Please select one option.
Yes, please
No, thanks
OTHER HELPFUL INFORMATION
Spouse's name (if applicable)
Did your spouse attend with you?
Please select one option.
Yes
No
Not applicable
Spouse's email (if applicable)
Spouse's preferred phone (if applicable)
Names/ages of children living at home
How have you visited RBC?
Please select all that apply.
In person on Sunday
Livestream/video (YouTube)
Other
I have not yet visited
What brought you to RBC?
Please select all that apply.
Recently moved to area
Looking for a church
Investigating Christianity
Just visiting
Other (specify below)
How did you hear about us?
Please select all that apply.
Word of mouth
Friend/Family
Online search
Driving past
Other
Would you like information about specific aspects of RBC?
Please select all that apply.
General Info about RBC Ministries
Children
Youth
Serving God through Missions/Outreach
Connecting/reconnecting with Jesus
Baptism
Membership
Other (specify below)
Other info you desire
Other comments or info you would like us to have
Submit
Description
Please fill out this form and click submit.
×
Please Fix the Following
