My Commitment

Have you come forward to personally accept Jesus Christ as your Lord and Saviour?

FIRST TIME DECISION - I have prayed the prayer of commitment

I ACCEPT JESUS CHRIST AS MY LORD AND SAVIOUR. (Review pages 4 and 5.)

RECOMMITMENT OR ASSURANCE - I accepted Jesus Christ as my Lord and Saviour before, but

I HAVE FAILED TO FOLLOW HIM AND WANT TO REDEDICATE MY LIFE TO HIM. (Review page 4 and 6.)

I WASN'T SURE I HAD ETERNAL LIFE, NOW I KNOW WITH CERTAINTY THAT JESUS CHRIST IS MY LORD AND SAVIOUR. (Review page 4 and 7.)

KNOW MORE

I WANT TO KNOW MORE ABOUT WHAT IT MEANS TO RECEIVE CHRIST. (Review pages 4 and 8.)

Name

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number(Required)

Gender

Male

Female

Age

If you attend a church, or if some from your church invited you, please list the church below

Church City

Pastor/Leader