Connect Card

Thank you for letting us know you are attending the worship service today (in person or online) and
for providing the following information so that we can better serve you. The next time you attend a worship service (in person or online), you need only fill out your name, email address, and name(s) of those worshipping with you.
If your contact information, changes, please take a moment to provide the information
so that your church record can be updated..

Whether you a new resident to the community, looking for a church home, are a part-time resident, or are vacationing in the area, you are welcome at Church of the Pines. Please provide the following information so that we know who is worshipping together today and so that we can thank you for being here - in person or online.

Connect Card

Change of Information *

My information has changed. Please update my record.

* Indicates required field

Date you attended the worship service in person or online. Month/Day/Year *

I (We) attended the worship service in person or online. (select one option from the dropdown box) *

Adult #1 - Name *

First

Last

Adult #1 - date of birth (Month/Day/Year) *

Adult #1 - LANDLINE PHONE NUMBER *

Adult #1 - Cell Phone Number *

Adult #1 - Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Adult #2 - Name *

First

Last

Adult #2 - Date of Birth (Month/Day/Year) *

Adult #2 - Cell Phone Number *

Adult #2 - Email Address *

Child #1 Name *

First

Last

Child #1 - Date of Birth (Month/Day/Year) *

Child #2 Name *

First

Last

Child #2 Date of Birth (Month/Day/Year) *

Child #3 Name *

First

Last

Child #3 Date of Birth (Month/Day/Year) *

Child #4 Name *

First

Last

Child #4 Date of Birth (Month/Day/Year) *

Please select one of the following: Are you a first or second time guest today? Or are you a church member or a non-member who has previously attended worship services in person, or watched the services on Facebook or YouTube? *

1st Time Guest 2nd Time Guest Church Member I attend worship services and am not a church member

I am a guest of (list person's name) *

How did you hear about Church of the Pines' worship service? (Select one from the dropdown box) *

Check "yes" below if you would like to receive the church's monthly newsletters and weekly updates. *

Yes

Additional Information you would like us to know or questions you have about Church of the Pines. *

Submit