Special Events Pastor Request Form

Special Events Pastor Request

*All information submitted will remain confidential.
Name*

First NameLast Name
Date of Birth *

MonthDayYear
Date
Best Contact Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Campus *
Event Type*

Home DedicationBaby DedicationOther
Event Date*

MonthDayYear
Date
Event Time *

Hour Minutes

AM/PM Option
Amount of People Expected*
Location Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please note, Pastor Brett Jones and Pastor Scott Jones have asked that all requests be referred to other campus pastors. While we take your requests into account, we cannot guarantee that the officiating pastor of your choice will be available for your date, so we may assign another who is.

*** The submission of this form will be shared with the pastoral team and someone will get back with you based on their scheduling availability.
Pastor: 1st Choice*
Pastor: 2nd Choice*
Additional Comments
Member Photo

To better serve you, would you please be so kind to upload a photo of yourself to attach with your submission? EveryONE matters and you certainly matter to us! Having a picture will help us remember those we've served and those we may serve again in the future.
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