Communication Card

Please use this form to communicate information to the Chapel office including additions, changes, requests, and comments.

Your name *

Last name

Email address *

Requests

Connection Options

Please check any of the following options that apply to you

Add my/our name(s) for a name tag(s)

Change the church database as per the information below

Add me/us to the PCC prayer alerts & announcements email list

Contact me/us about receiving a visit from a pastor or ministry staff member

Other

Are you looking for a church home?

Yes

Information Request

Check any of the following and we'll send you information about what have checked

Becoming a follower of Jesus

Home Groups (small group Bible study / community groups)

Baptism

Child Dedication

Membership

Volunteering at PCC

Other

Comments / Suggestions / Prayer Requests / Next Steps

Please use the space below for any of these reasons or to clarify an 'other' selection above

Please fill in as necessary. If you have submitted your info to the Chapel office before, please only fill in any changes.

Address

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Household members

Phone Number

Phone type

Birthday

If you are a guest, how did you hear about PCC?

If you have minor children with you today, please list their first name(s) and age(s)/grade(s):

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