CENSUS 2025

Please complete and submit this form; only one submission per person. A submission for minors should be completed as well.

NOTE: All of your information will remain confidential.

Yes, even your birthdate! LOL.

First & Last NAME

GENDER

male

female

DATE of BIRTH

MARITAL STATUS

HOME ADDRESS

PHONE

EMAIL ADDRESS

EMERGENCY CONTACT: Please provide their full name and phone number.

OK, now let's talk about your goals for 2025. There are no right or wrong answers. And if you don't have an answer for a particular section, don't let it stop you from submitting this form. We just want to find ways to help you, and all of our Life House family, reach our fullest potential and achieve our goals. Are you ready? Let's go....

What are your SPIRITUAL GOALS?

What are your CAREER / PROFESSIONAL GOALS?

What are your FINANCIAL GOALS?

What are your RELATIONSHIP GOALS? (All relationship types.)

What are your HEALTH & FITNESS GOALS?

You're all done!

Thank you so very much for participating in The Life House CENSUS 2025. We value your time and appreciate your responses. And....don't forget to hit the "SUBMIT" button below. Have an awesome day.

Stay Connected
& Grow Together

Hey, Life House!

We're doing The Life House CENSUS 2025 for two reasons:

to ensure we have your updated contact information
to use ministry initiatives to help you reach your 2025 goals

So, please complete and submit the form below. Let's stay connected and make 2025 our best year ever!

Thanks much,

Pastor & Lady Porter

CENSUS 2025CENSUS 2025

CENSUS2025CENSUS2025

CENSUS 2025

Stay Connected & Grow Together

Stay Connected
& Grow Together