Hey Y'all Form
Please fill out this form and click submit.
Contact Information
Name(s)
*
Phone
Email
Address
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Please list any other family members with you today (names/ages)
How did you hear about Northstar Pulaski?
Please select one option.
Friend/Family member
Community Event
Social Media/Online
Other
Select Option
Friend/Family member
Community Event
Social Media/Online
Other
Next Steps
Please select what you feel your next step is with Northstar Pulaski.
Please select all that apply.
I have questions about Jesus Christ and/or the Bible
I want to be discipled
I'd like more information about this church
I'd like to pursue baptism
Get Involved
Please select any of the following that you are interested in.
Please select all that apply.
Life Together (discipleship)
Community events
Mission trips
Sunday Service Teams (worship, set up/tear down, kids min, etc)
Youth/Family
Comments & Prayers
How can we help you, answer questions, or pray for you?
Submit
Description
Please fill out this form and click submit.
×
Please Fix the Following