Date

First Name

Last Name

Phone Number

Address

Update My Contact Information

Names and Ages of Children in the Home

I am A
Member
Regular Attender
Visitor
KSU/MCC Student
Military

I am Attending
First Service
Second Service
Online

I have a
Prayer Request
Praise
Comment
Question

Please Write Your Response Here

I want More Information On:
Finding Peace with
God through Jesus Christ
Getting Connected at Grace
Church Membership
Care Groups
Counseling/Discipleship
Baptism
Information about Grace
Serving

Sign me up for
weekly church emails
prayer emails