New Here
WELCOME!
Fill out the form below to stay connected.
We are so glad you are here today!
Name
*
Phone
*
Do you wish to receive text messages?
*
Please select all that apply.
Yes
No
By selecting "Yes" above, I am consenting to receive SMS messages from Breeze regarding information and announcements for {{your_org_name_here}}. I understand that message and data rates may apply and message frequency varies. I can opt out by responding STOP at any time. For support I can text HELP to 87447. Please review the Breeze Privacy Policy and Terms of Service available at
breezechms.com
for more details.
Email
*
This address will receive a confirmation email
This is my...
*
Please select all that apply.
1st Time
2nd Time
3rd Time
4+ Time
How many kids under 18 at home.
*
Please select one option.
0-
1-2
3-4
5+
Select Option
0-
1-2
3-4
5+
The following is completely optional. We would just like to get to know you a little more!
Birthday
Anniversary (if it applies)
I would like more info about...
Please select all that apply.
PC Kids
PC Yth
Womens Group
Mens Group
Baptism
Joining a Team
*Something else...Write it below
How can we Pray for you?
*More info about something else
Submit
Description
WELCOME!
×
Please Fix the Following
