Worship Attendance
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Area code + phone number, digits only
Would you like to receive occasional texts from us about events and other opportunities?
Yes
No
I am worshiping today
*
Online
TV broadcast
In-person
Location
Blue Springs
Brookside
Downtown
Leawood
Overland Park
West (Olathe)
Blue Springs service time
Sunday, 9 am
Sunday, 11 am
Brookside service time
Sunday, 9 am
Sunday, 11 am
Downtown service time
Saturday, 5 pm
Sunday, 9 am
Sunday, 11 am
Leawood service time
Sunday, 7:30 am
Sunday, 9 am
Sunday, 11 am, Sanctuary
Sunday, 11 am, Foundry
Sunday, 5 pm
Overland Park service time
Sunday, 9 am
Sunday, 11 am
West (Olathe) service time
Sunday, 9 am
Sunday, 11 am
Tell us about yourself (check all that apply)
This is my first time to worship at Resurrection
I am searching for a church home
I regularly worship at Resurrection
None of the above
Do you have a new email address, phone number or mailing address?
Yes, I have new contact information
You are worshiping
By yourself
With others
Including yourself, how many people are worshiping with you at your location?
Person 1 (not yourself)
First Name1
Last Name1
1 Is there another person worshipping with you?
Yes
No
Person 2
First Name 2
Last Name 2
2 Is there another person worshipping with you?
Yes
No
Person 3
First Name 3
Last Name 3
3 Is there another person worshipping with you?
Yes
No
Person 4
First Name 4
Last Name 4
4 Is there another person worshipping with you?
Yes
No
Person 5
First Name 5
Last Name 5
5 Is there another person worshipping with you?
Yes
No
Person 6
First Name 6
Last Name 6
6 Is there another person worshipping with you?
Yes
No
Person 7
First Name 7
Last Name 7
7 Is there another person worshipping with you?
Yes
No
Person 8
First Name 8
Last Name 8
8 Is there another person worshipping with you?
Yes
No
Person 9
First Name 9
Last Name 9
9 Is there another person worshipping with you?
Yes
No
Person 10
First Name 10
Last Name 10
10 Is there another person worshipping with you?
Yes
No
Enter the first and last names of the remaining people worshipping with you separated by commas.
Example: Jake Smith, Ann Smith
I want to leave a comment regarding (optional)
Prayer request / care concern
Worship service
No comment
Worship Service Comments
Prayer Request / Care Concern
Enter your prayer request or care concern by following the link on the page you will see after you click Submit below. Your request/concern will then be sent directly to our Care Team.
We have a gift for you!
Please provide your contact information so we can send it to you.
Contact Information
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Tell us what has changed (check all that apply)
Email address is new
Phone number is new
Address is new
Submit
Should be Empty: