Online Communication, Connect and Prayer Card
Please complete the form below to your comfort level per request. All information will be held confidential to the Des Moines Vineyard Church. No questions are required to answer.
CONTACT INFORMATION
First and Last Name
Age
Email or Phone Number (please list your preferred form of contact)
Address
Marital Status
Clear selection
Other Household Member(s) Names and Ages
WELCOME TO THE VINEYARD CHURCH
How Did You Hear About Us?
If You Were Invited, Who Invited You?
Are You Looking For a Church Home?
Clear selection
I Am A ...
Clear selection
Relationship With Jesus
CONNECT AND PRAYER
Sign me up (list a Class or Event below)
I Would Like to Receive / Join (reminder, you will need to give us your email in the contact information section above if you would like to join an email group)
I Have the Following Prayer Request or God Story
Submit
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