First Name *

Last Name *

Email *

Mobile Phone

Did you make any of these decisions today? (Choose all that apply.)I am trusting Jesus Christ as my Savior todayI am rededicating my life to Christ todayI would like to be baptizedI am interested in becoming a member of FBCLI am interested in joining a life group

Yes, I would like a pastor at FBCL to call me at the number provided.

How can we pray for you?