Communicate & Connect Survey
PLEASE NOTE: This survey is being managed by third party consultant Jessica Umlauf and her assistants, *none of whom are church members,* so that it can be anonymous to your church community.

After filling out your personal information and preferred contact methods (which will be used to update church records), you'll be given instructions to fill out feedback separately from your name if you still wish.

Contact Jessica at jumlaufcoaching@gmail.com if you have questions or wish to speak with her directly.
Part 1 of 3: Church Records
The first part of this survey will help update church records with more information about you, as well as give you more ways to hear from St George and reach one another.
First Name
Your answer
Middle Name or Initial
Your answer
Last Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Home Phone
Your answer
Cell Phone
Your answer
Email
Your answer
Street Address
Your answer
Apartment Number / Address Line 2
Your answer
City
Your answer
State
Zip code
Your answer
Occupation (including homemaker)
Your answer
If you are married, please list your spouse's name and wedding date.
Your answer
If you have children, please list their names and dates of birth.
Your answer
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