Select service you are attending:

Name

First Name

Last Name

Please enter the names of all members of your family/group below (all of those other than the person entered above):

Email address

Phone number

(###)

###

####

I am a... (Please select one)

Please check all boxes that apply:

I would like additional information on how to become a member of Lakewood UMC.

I would like a Lakewood UMC pastor to contact me.

I would like additional information on volunteer opportunities at Lakewood UMC.

I would like to receive Lakewood UMC's email newsletter.

Please enter any prayer requests you have in the box below.

Lakewood United Methodist Church

Connect Card