Intake form

Help us serve you better

Name *

Email address *

Phone number

Preferred worship service time

How did you hear about us?

Please select at least one option.

Social Media

Friend/Family

Website

Event

Prayer request

Are you interested in joining a ministry?

What type of ministry are you interested in?

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Youth Ministry

Children's Ministry

Music Ministry

Outreach Ministry

Would you like to volunteer?

Additional questions or comments

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Rock of ages celestial ministries