Jubilee Christian Church - Brockport

First Name

Last Name

Email

Phone Number

How many times have you visited our church?

This is my first time

A few times

Regular attender

I would like to meet with a Pastor:

Before Service: (8:30 - 9:00 AM)

After Service: (12:00 - 12:30 PM)

If Other Please Explain?

I need assistance with:

Assistive Device (Wheelchair, Walker, etc.)

Language (English is not my first language)

Children With Special Needs

Other

If Other Please Explain?

I will be attending:

Bible Roundtable (9:00 AM - 9:30 AM)

Service

My Children Will Be Attending:

Nursery

K-5

Trailblazers (Teens)

Anything else you'd like to share?