CONTACT FORM

Welcome to Legacy Church! We are excited that you've taken this step to help us get to know you better!

Date

YOUR NAME

First Name *

Last Name *

Others in your household | Include childs name/age

CONTACT INFORMATION

EMAIL ADDRESS *

PHONE NUMBER *

ADDRESS

Home Address

Apt/Unit/Box

City

State

Zip Code

How did you hear about Legacy Church? (Select all that apply)

How many times have you joined us?

I would like more information

The Next Step

OTHER:

I HAVE A PRAYER REQUEST

CONFIDENTIAL PRAYER REQUEST (shared only with church leadership)