SMPC Connection Survey  
Please complete one Survey per household. 
Email *
Your Name and Members of Your Household  *
Email Address of Adult/s in Household  *
Address *
Adult Phone Numbers  *
Are You a Member of Spring Meadows  *
If You are a Member, Who is Your Shepherding Elder?  *
Adult Birthdays (Name with Month/Date) *
Adult Name & Occupation/s *
Marital Status  *
If Married, Wedding Anniversary (Month/Date) *
Children's Names with Birthdays (Month/Date/Yr) *
Currently in a Bible Study?  *
Interested in Attending a Bible/Book Study *
Please Check the Areas of Service Where You Can Contribute *
Required
If multiple family members, please indicate individual's name for checked service box/es.   *
Please Check a Spiritual Gift/ Special Talent You Have:  *
Required
If multiple family members, please indicate individual name for the checked talent box/es.   *
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