If you are currently attending Lake Pointe Church and have not already
filled out a 2010 Annual Survey, please fill out entirely one time per family.


 
  Name: Birthdate:
   
     
  Spouse Name:  Spouse Birthdate:
 
 
  Campus: Are you a:
 
 
  Marital Status:  
   
     
  Wedding Date:  
   
  Address: City:
 
  State: Zip:
 
     
  Home Phone:  
   
  His Work: Her Work:
 
  His Cell: Her Cell:
 
  His Email: Her Email:
 
 
 Other family attending Lake Pointe Church and living with you:
 
Name:
  
DOB:
  
Relation:
  
Name:
  
DOB:
  
Relation:
  
Name:
  
DOB:
  
Relation:
  
Name:
  
DOB:
  
Relation:
  
                 
   
 Additional Information
 
Would you like information about a Life Group?
 
   
Would you like information about serving opportunities?
 
   
What influenced you to come to Lake Pointe for the first time?
 
If Other Please Specify:
 
What most influenced you to come to come back again?
 
On average, how many minutes does it take to drive to church every week?
 
Please enroll my family to receive FREE periodic resources from HomePointe Ministry to help my family develop faith in our home.