JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Welcome!
We look forward to connecting with you! Please complete the form below to sign-up for email updates, and let us know your needs and interests.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First & Last Name
Your answer
Phone Number
Your answer
Pronouns (optional)
Your answer
Race / Ethnicity (optional)
Your answer
Would you like to join our Sunday services?
Yes, I'm interested to attend services at the church, 301 N. Mayfield, Chicago.
Yes, please send me information about attending services online.
Clear selection
Would you like to receive our weekly newsletter?
Yes
No (note: we cannot send you online access to services without selecting "yes" for emails above)
I do not have regular access to internet. Please contact me to discuss options.
Clear selection
Would you like more information about our ministries? Please check all that apply:
Black Lives of Unitarian Universalism (BLUU) - gatherings by and for people of African descent
Caring Circles
Community Food Pantry
Community Gardens
Justice Ministry
Music
Religious Education for children
Sunday worship services
I would like to learn more about becoming a member.
I would like a call from the Minister.
Joys & Sorrows - Do you have a joy or sorrow you'd like to share? Our community will hold you in our hearts during our meditation & prayer time. You can also contact our Minister directly with any confidential concerns at Rev.ColleenUU@gmail.com.
Your answer
Children - Do you have any children in your life who may be attending with you? Please list their names and ages below.
Your answer
Access Check-in - What needs do you bring regarding participation in our congregation? Please describe below.
Your answer
How did you hear about our congregation?
Your answer
Any questions or other information you'd like to share? Please use the space below. We look forward to connecting with you!
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
