Hi! Welcome to Samuel Fellowship! In order for us to know more about you, please fill in this form and hand it back to us. Thanks!

Name: _____________________________

Age: ________________

Grade: ____________________

School: ________________________________

Phone Number: _________________________

Cell phone Number: _____________________

Email Address: ________________________

ICQ #: ______________________

Msn: ___________________

Homepage: ________________________________

Address: __________________________________________

Are you a Christian? ______________

Is this your first time here? _______________

Who invited you to Richmond Chinese Alliance Church? _________________________________

Do your parents attend church? If so, which one? __________________________________

What are the names of your parents? __________________________

What did you think about today’s topic? _________________________________________________________

Would you consider coming again? __________________

Thank you for filling this form!

We hope that we can see you next time!

God Bless You!