Jarvis Memorial 2021 Heart Count
A healthy family is always seeking to know each other better. To be the best church family we can be, the Jarvis Memorial staff desires to connect with all of our members and visitors, young and old, near and far. This "Heart Count" will help us correct and update information about you and your family as we move forward together.

Thank you for answering all of the questions below! This information will only be used for church purposes. Any information you prefer NOT to give, just mark with "xxxx". Thanks!
Your Name *
Your Birthdate *
MM
/
DD
/
YYYY
Your Mailing Address (Including City, State and Zip) *
Your Cell Phone *
Your Email *
Your Family Members That Attend Jarvis With You (Please list each one with Birthdates, Cell Numbers & Emails) *
Worship Preference (AFTER major COVID-19 concern is gone) *
Attendance Preference (AFTER major COVID-19 concern is gone) *
I/We Attend Church *
Number of Years of Membership at Jarvis *
My Occupation (or former occupation, if retired) *
My Hobbies/Special Interests (for example: gardening, carpentry, cooking, photography, music, etc.) *
My Spiritual Gifts: *
Required
One Thing That Jarvis Does Best Is *
One Thing I Wish Jarvis Would Start or Do Better *
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