Connect Form

Please complete this form so that our Faith Community Church Database can stay up to date.

Name

*

Cell Phone

*

Home Phone

Address

*

Email

*

This address will receive a confirmation email

Marital Status

*

Please select one option.

Single Married Seperated Divorced Widowed

Name of spouse (if applicable):

Names and birthdates of your children under 19 years of age:

Help us put a face to a name. How can we collect your photo?

*

Please select one option.

Take my photo I will provide you will provide you with a photo of me (electronic image to be emailed/texted). I do not want my photo used.

How do you want to receive digital communication from FCC?

*

Please select one option.

Email & Text Email Only Text Only I don't wish to receive digital communication from FCC.

I give permission to Faith Community Church to use their photos to promote the ministries of the church (select all that apply):

*

Please select all that apply.

Yes to photos of me No to photos of me Yes to photos of my children No to photos of my children

I'm currently involved in the following FCC groups:

*

I'm currently serving FCC in the following ways:

Description

Please complete this form so that our Faith Community Church Database can stay up to date.

Close