Rockpoint Community Church

First Name

Last Name

Phone Number

Email

Address

Apartment, suite, etc.

City

State

Postal / Zip Code

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):

Salvation and a personal relationship with Jesus

Service Teams

Children and Youth Ministries

Adult Ministries

Other

How can we be praying for you this week?

Anything else you'd like to share?