Worship Attendance Form Date MM DD YYYY Service Attended * 8:30 a.m. 9:00 a.m. 11:00 a.m. Livestream Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone (###) ### #### Additional Family Members Please list any additional family members in attendance. Status Member Guest I am interested in membership. Programs and ministries I am interested in: Adult Sunday School Children's Ministry Senior Ministry Young Families UMYF/Youth events Missions UMW Music Ministries Ushering/Valeting Volunteering in the nursery Child Enrichment Center I would like to visit with a Pastor. Please note my change of address. I need a name tag. Thank you!