Guest Connection:
Have you visited us? Would you like more information? Do you have something you'd like us to pray for? We'd love to hear from you and get to know you a little more. Please fill out the form below, and we'll be in touch. (we promise never to sell or give away your info)
Name:
Address:
City: State: Zip:
eMail:
AM Phone: PM Phone:
Best Time to Call:
How did you hear about us at the Vineyard?

I am:
Single Married Divorced Widow/Widower
A college student at:

I am:
18-23 24-30 31-35 36-40
41-45 46-50 51-60 61-70 71+

I have Kids Infant Preschool Elementary
Jr. High High School College Adult

I have been to Vineyard:
Once Twice Three times I'm an out of town visitor
I've been attending since / (mm/yyyy)
As a guest of:
Date visited: / / (mm/dd/yyyy)
At the service on Saturday @ 7pm Sunday @ 7pm
Sunday @ 9am Sunday @ 11am

I want you to know:
I recently made a decision to start a relationship with God
I recently recommitted my life to God
I'm looking for a church home

I would like more information about:
Following Jesus Home Groups Getting Plugged in to Community
Alpha/V-Trek classes Recovery Young Adults (18+) Group
Volunteering in the office Women's Groups Men's Groups
High School Group Jr. High Group Children's Ministry
Mom's of Preschoolers Group Worship Team
Other:

Prayer needs? (We keep these confidential...)