Communication Consent Form

Communication Consent Form

Please add me to The Life Church Christian Center's communication system.
Date*

MonthDayYear
Do you give your Consent to receive Text Messaging from The Life Church Christian Center?*

YESNO
Do you give your Consent to receive Email communication from The Life Church Christian Center?*

YESNO
Do you give your Consent to receive Automated Voice Message communication from The Life Church Christian Center?*

YESNO
Do you understand that you can OPT Out of receiving Text or Email communication at any time by replying with STOP?*

YESNO
Please Select One:*

I am a Member of The Life Church Christian CenterI am a Guest
Your Name*

First NameLast Name
Phone Number*
Your Email*
example@example.com
Address (Optional)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birthday (Optional)

MonthDayYear
Date
Gender (Optional)

MaleFemale
Marital Status (Optional)

SingleMarriedDivorcedWidowed
Should be Empty: