Special Events Pastor Request Form

Special Events Pastor Request

Grace Church | Member Care

*All information submitted will remain confidential.

Name *

First Name

Last Name

Date of Birth *

Best Contact Phone Number *

Phone Number

Email *

example@example.com

Campus *

Event Type *

	Home Dedication
	Baby Dedication

Event Date *

Event Time *

Amount of People Expected *

Location Address *

Street Address


Street Address Line 2


City	State


Postal / Zip Code

Please note, Pastor Brett Jones and Pastor Scott Jones have asked that all requests be referred to other campus pastors. While we take your requests into account, we cannot guarantee that the officiating pastor of your choice will be available for your date, so we may assign another who is.

*** The submission of this form will be shared with the pastoral team and someone will get back with you based on their scheduling availability.

Pastor: 1st Choice *

Pastor: 2nd Choice *

Additional Comments

Member Photo
To better serve you, would you please be so kind to upload a photo of yourself
to attach with your submission?
Every ONE matters and you certainly matter to us! Having a picture will help
us remember those we've served and those we may serve again in the future.