Elysburg Presbyterian Church

Connect Card

Welcome to our church! We're so glad you're here. Our team would love to serve you and help you get connected.

First Name

Last Name

Email

Phone Number

Address

Apartment, suite, etc.

City

State

Postal / Zip Code

Birthdate

How many times have you visited our church?

This is my first time

A few times

Regular attender

I would like to learn more about (check all that apply):

Volunteering

Membership

Small Groups

Kid Ministry

Accepting Jesus as my savior

How did you hear about us?

Anything else you'd like to share?