Name *

First Name

Last Name

Phone

(###)

###

####

Have you accepted Jesus as your personal Lord and Savior? *

YES

NO

NOT SURE

Do you currently have a church family? *

If not we would love to tell you about Woodstock Church and answer any questions you may have. We would love to help you find a church family, if Woodstock Church is not a fit for you then we would love to help connect you with a church that is a great fit.

YES

NO

Would you like us to be in contact with you? *

YES

NO