Lighthouse Baptist Church of Xenia

Connect Card

Welcome to our church! We're glad you're here. Our team would love to serve you and help you get connected.

First Name

Last Name

Age

Date of Birth

Email

Phone

Address 1

Address 2

Country

City

State

Zip/Postal Code

How many times have you visited our church?
This is my first time
A few times
Regular attender

How did you hear about us?

Did you visit in person or online?
In Person
Online

Do you have a home church? If so where?

I would like to learn more about (check all that apply):
Baptism
Volunteering
Membership
Community Groups
Jesus

Would you like a staff member to meet with you?
Phone Call
email
Home Visit

Anything else you'd like to share?