Member and Associate Member Emergency Contact Form

Please click this Emergency Contact and Information Form and print it out. Complete as much of it as you would like and bring it to the office. This form will be used by our Pastoral Staff and Administrative Staff to keep in touch with you.

The information you provide will:

  • Help us help you in case of an emergency
  • Indicate your interests and your willingness to help The Church of the Palms reach out in ministry
  • Help us know how to minister to you