EPSM Connection Card
Thank you for taking the time to fill out the connection card! We are so glad you're here and want to get to know you! Text 833-418-5830 with any questions!
Full Name
*
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
example@example.com
Would you like to be added to the EPSM announcement text? (We send out weekly texts about our events and activities!)
*
Yes
No
T-Shirt Size (Adult Sizes Only)
*
Please Select
Small
Medium
Large
X-Large
XXL
XXXL
What school do you attend?
*
What grade are you currently in for the 2025-2026 school year? (EPSM is only current 6th-12th grade)
*
Please Select
6th
7th
8th
9th
10th
11th
12th
Who invited you?
*
Do you currently have a church home? If so, where?
*
How often do you attend?
*
Please Select
First time!!
Newish but I've been a few times
Pretty often
Always here!
Upload a selfie to help the leaders learn your name!
*
Browse Files
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Choose a file
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Parent/Guardian that you live with -- Name
*
First Name
Last Name
Parent/Guardian that you live with -- Phone Number
*
Please enter a valid phone number.
Submit
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