First UMC of Cocoa Beach

Connect Card

Welcome to our church! We're glad you're here. Our team would love to serve you and help you get connected.

First Name

Last Name

Email

Phone

Address 1

Address 2

Country

City

State

Zip/Postal Code

How many times have you been our guest?
First time
Second time
Regular attender

Preferred Worship Service Time?
9:30
11:00

I would like more information about:
Following Jesus
Baptism
Joining the Church
Small Groups & Classes
Volunteer Opportunities
Other

How many members of your family volunteered at least one hour outside of the church this week?

Prayer Requests

How did you hear about us?

Anything else you'd like to share?