Vineyard Jackson - Connect Card

Connect Card

Welcome to our church! We're glad you're here. Our team would love to serve you and help you get connected.

Name (first & last)

Is your spouse attending with you?

Yes

No

Spouse's Name

Are any children attending with you?

Yes

No

Please list the names and ages of your children:

Do any of your children have additional needs we should know about? Ex. Allergies, disability accomidations or safety needs

Yes

No

Please tell us about that

Phone Number

Email Address

Address

City, State, Zipcode

How many times have you been to Vineyard?

This is my first time

I've attended a few times

I'm a regular member updating info

I'm a returning member or from another Vineyard

We like to celebrate your special days with you! You can list any birthdays or anniversaries here:

I'd like to learn more about (check all that apply):

Jesus and his message

Baptism

Service Opportunities

Joining this church

Family Churches & Small Groups

How did you hear about us?

Is there anything else you'd like to share?