Madison Street United Methodist Church

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Please fill out the form below. Let us know what you might be interested in and how we might pray for you.

* Denotes a required field to fill in
First & Last Names of all adults worshiping with us.*
What is the date of the viewed worship service? (Please just type the date of the service recorded.)*
How many individuals are worshiping with us?*
Names and ages of youth worshiping with us.
Names and ages of children worshiping with us.
Phone (including area code)*
Email*
Would you like more information about one of our ministries?
Adults
Senior Adults
Youth
Children
Are you a*
Member of Madison Street
Regular attender of Madison Street
Guest of Madison Street
Do you live in or near Clarksville TN?*
Yes, I/We are worshiping with you locally.
No, I am from out of town.
I would like to be contacted by a pastor.   Clear My Answer
Yes
No
How can we pray for you? (This will be shared with our pastoral staff.)