Request for Contact and/or Email Subscription

Please fill out this form and click submit.

I would like to:

*

Please select all that apply.

Receive the weekly Church eBulletin and monthly Parish Notes by email Speak to the minister or a pastoral care leader Learn about membership Learn about Faith Development classes for my child(ren) Other (Specify in Comments Below)

Name

*

Email

*

If you do not have a landline, please leave Home Phone blank. Do not enter a cell phone as a Home Phone.

Home Phone

Mobile Phone

Preferred Contact Method:

Please select one option.

Home Phone Mobile Phone Email

Are you currently attending services or participating in groups at Concord UU?

*

Please select one option.

Yes No Online Live Streaming Only

Address

Comments / Details

Description

Please fill out this form and click submit.

Please Fix the Following

Close