Welcome to Pasadena Community Church

First Name

Last Name

Email Address

Phone Number

Today's Date

Tell us about yourself (check only the one that is applicable))

This is my first time to worship with Pasadena Community Church

I am searching for a church home

I am a member of PCC

I regularly attend worship at Pasadena Community Church

I am worshipping (check only what is applicable)

By myself

with my Spouse/Partner

with my Family

If you are worshipping with Family, how many people are with you?

Number of Family with you

Street Address

City

State

Zip Code

If any of your contact information has changed recently, please tell us what has changed so we may update our records.

Additional Comments

In-Person Pre-Screening Form