Welcome To Church Christ Embassy Boundless Grace First Name* Last Name* Phone* E-mail Address: Street Postal Code City Date of Birth* Date Attended Service* Age-bracket Less than 1313-1718-2526-3031-4041-5050+ Gender MaleFemale Marital Status SingleMarriedOther How did you get to know about Christ Embassy: TVInvitedOther Are you born again? NoYes Have you been filled with the Holy Ghost: NoYes Would you like us to call or visit you?: I prefer a callI prefer a visit Occupation Cell Recommendation Prayer Request/Notes