CCOC - Calling a Community to Connect to Christ Coastal Attendee Form

PARKING INFO for Services

Sanctuary
801 West Ave
Ocean City, NJ 08226

Coastal Life Center (CLC)
833 West Ave
Ocean City, NJ 08226

Admin Offices & Mailing Address
801 Asbury Ave, Suite 404
Ocean City, NJ 08226

WHEN:

Sunday
8:00A / 9:45A / 11:30A

Thursday
7:00P

Children's Ministry
Available on Thursdays &
on Sundays at 1st & 2nd Services

CONTACT:

PHONE
P 609.399.4747
F 609.399.4759

EMAIL
General admin@ccoceancity.com
Pastor Matt pastor@ccoceancity.com

FB/INST/TW
@ccoceancity

MY COASTAL

We use this information to better serve you and your family, as well as to keep you informed of what is happening at Coastal Christian. You are in complete control of what information is published, or kept private, and if you do not want to receive email correspondence you have the right to opt out of our mailing list.

If you have any questions or concerns, do not hesitate to contact the church office for an explanation of our privacy policy.

Head of Household - Full Name*

Head of Household - Birthdate (ex 05/01/1900)

Spouse's Full Name

Spouse's Birthdate (ex 05/01/1900)

Wedding Anniversary Date (ex 05/01/1900)

Primary Mailing Address

Address Line 1

Address Line 2

City

State/Prov.

Postal Code

Country

Do you want your primary mailing address published in the church directory? Yes
No

Secondary Mailing Address

Address Line 1

Address Line 2

City

State/Prov.

Postal Code

Country

Do you want your secondary mailing address published in the church directory? Yes
No

Home Phone # (6095551212)

Do you want your home phone # placed in the church directory? Yes
No

Head of Household Cell Phone # (ex. 6095551212)

Do you want your Head of Household cell number placed in the church directory? Yes
No

Head of Household - Email Address (Coastal Christian's main form of communication to our fellowship is by means of email.)

Do you want the Head of Household email address placed in the church directory? Yes
No

Spouse Cell Phone # (ex. 6095551212)

Do you want the spouse's cell number placed in the church directory? Yes
No

Spouse - Email Address (Coastal Christian's main form of communication to our fellowship is by means of email.)

Do you want the spouse's email address placed in the church directory? Yes
No

1st Child Full Name

First Name

Middle

Last Name

1st Child Birthdate (ex 05/01/1900)

Any allergies or medical concerns for child #1?

2nd Child Name

First Name

Middle

Last Name

2nd Child's Birthdate (ex 05/01/1900)

Any allergies or medical concerns for child #2?

3rd Child's Name

First Name

Middle

Last Name

3rd Child's Birthdate (ex 05/01/1900)

Any allergies or medical concerns for child #3?

4th Child's Name

First Name

Middle

Last Name

4th Child's Birthdate (ex 05/01/1900)

Any allergies or medical concerns for child #4?

5th Child's Name

First Name

Middle

Last Name

5th Child's Birthdate (ex 05/01/1900)

Any allergies or medical concerns for child #5?

6th Child's Name

First Name

Middle

Last Name

6th Child's Birthdate (ex 05/01/1900)

Any allergies or medical concerns for child #6?

1st Grandchild's Name that attends with you

First Name

Middle

Last Name

1st Grandchild's Birthdate (ex 05/01/1900)

Any allergies or medical concerns for grandchild #1?

2nd Grandchild's Name that attends with you

First Name

Middle

Last Name

2nd Grandchild's Birthdate (ex 05/01/1900)

Any allergies or medical concerns for grandchild #2?

3rd Grandchild's Name that attends with you

First Name

Middle

Last Name

3rd Grandchild's Birthdate (ex 05/01/1900)

Any allergies or medical concerns for grandchild #3?

WHERE:

PARKING INFO for Services

WHEN:

CONTACT:

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Coastal Attendee Form