Emergency Contact (EC) Information

This is an optional form that is intended to let the church community be of help to you should you need it.
Please fill out this form and click submit.
EC is used throughout this form as an abreviation for Emergency Contact. This allows the technology elves to update our database automatically. 
 
 
 
 
 
This Information will be available to church leadership. 

Contact for Medical Emergencies
If I experience a medical or other crisis while attending a church event, please contact:

First Emergency Contact
 
 
Second Emergency Contact
 
 
Contact for General Concerns
If general concern for my well being arises, please communicate with:

First General Contact
 
 
 
Second General Contact
 
 
 
Enter today's date below.
 

Description

This is an optional form that is intended to let the church community be of help to you should you need it.
Please fill out this form and click submit.