EmailMe Form - The Bridge Church Columbus

Personal Information

Today's Date *

MM / DD / YYYY

Name *

First Last

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Gender *

Male

Female

Date of Birth *

MM / DD / YYYY

Cell Phone

### - ### - ####

Home Phone

### - ### - ####

Email

Marital Status *

Spouse's Name

First Last

Spouse's Date of Birth

MM / DD / YYYY

Date Married

MM / DD / YYYY

Number of Children

Ages of Children

Employer

Job Title

Church Information

Are you a member of The Bridge Church? *

How often do you attend The Bridge? *

Do you volunteer at The Bridge? *

What areas do you volunteer in at The Bridge?

Are you a ministry leader at The Bridge? *

What areas do you lead at The Bridge?

Have you confessed Jesus as your Lord and Savior? *

Are you filled with the Holy Spirit? *

Have you completed BridgeLife class? *

Spiritual Guidance

In as much detail as possible, describe why you are seeking spiritual guidance? *

What are your goals for the meeting? In other words, what do you want to accomplish? *

Disclaimer

The Bridge Church does not provide psychiatric, medical or mental health diagnosis or treatment. Our ministry utilizes volunteer ministers who use Biblical principles to encourage and support people who are dealing with spiritual issues.

Our volunteer ministers promise to protect information shared in confidence; however, in situations that indicate a potential danger or threat to self or others, we will take appropriate steps that may include the disclosure of information to third parties and/or law enforcement authorities.

By clicking "SUBMIT" below, you agree to have read the disclaimer in its entirety, and accept all conditions and terms.