Intake form

Help us serve you better

Name *

Email address *

What brings you to place of change church?

Please select at least one option.

Seeking hope

Desiring spiritual growth

Looking for community

Wanting to learn about God

How did you hear about us?

What is your preferred method of contact?

Are you interested in participating in small groups?

What type of services are you interested in?

Please select at least one option.

Sunday Worship

Bible Study

Prayer Meetings

Community Events

Volunteer Opportunities

Additional questions or comments

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Place of Change Church (POC)