Shepherd's Gate Interest Meeting Form

This form is for anyone who wants to participate in an upcoming interest meeting/monthly service for Shepherd's Gate Church. We will host three throughout the Summer leading up to our first service on August 23. You may RSVP for one or more dates.

Meeting will be on Sunday nights from 4:30-5:30 at 714 Hamilton Blvd in Peoria.
Each meeting will include time for prayer, sharing the vision and mission of the church, and Q&A.

Contact Information

Please provide your contact information below.

Name

This address will receive a confirmation email

Phone

Address

Other Information

Date of Birth

Marital Status

Please select one option.

Single Married Widowed Divorced Separated

Gender

Please select one option.

Male Female

How many total people are coming with you? Please include yourself.

Will your family need childcare? Childcare is for 6 weeks-7 years old.

Please select one option.

Yes No

Children's Names & Ages

Which meeting(s) are you planning to attend? You may pick more than one.

Please select all that apply.

June 28 July 19 August 16

Are you currently attending a church?

Please select one option.

Yes No

Are you a member of that church?

Please select one option.

Yes No I'm not currently attending a church

How did you hear about Shepherd's Gate?

Please select all that apply.

Friend/Family Website Google Partner Church Other

Tell us why you are interested in hearing more about Shepherd's Gate.

Shepherd's Gate Interest Meeting Form

Description

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