Family of the Week Feedback – Corinth Reformed Church

Name *

First

Last

Email *

Do you and all others listed on the PDF still consider yourselves members of the Corinth family? *

Who should be removed or contacted separately?

Note the items on the PDF. Do you have any corrections or additions to this information? *

List corrections here.

Who are your friends and family at Corinth? *

I/we receive regular communications from the church by (check all that apply) *

I/we worship regularly in person or online. *

I/we connect in the following small groups or classes: *

I/we serve in the following ways: *

Is there any way we can help you connect further at Corinth? *

Please list how we can help.

Do you have any prayer requests? *

Please list prayer needs.

Please pray for me/us... *

Would you like a pastor or elder to get in touch with you directly about any of the above? *

Do you have any other feedback or concerns to share with our pastors and elders? *

Please list feedback or concerns.

Form Filled Out By: *