NEEDHELPINPERSONCONTACT We Would Love to Connect With You! How Can We Help You? In-Person InfoIP_ADDRESSWhich campus are you attending?* South West North Joplin Your DetailsYour Name* First Last Gender* Male Female Date of Birth* Month Day Year Other DetailsPhoneBy providing your phone number, you agree to receive texts from James River Church. 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Additional Information/How Can We Help YouI would like more info about: Becoming a Christian Getting Baptized Life Groups Joining a Dream Team (Volunteering) Counseling - Biblical Guidance Pre-Marital Counseling I have a question This field is hidden when viewing the formNeed HelpLife Event/Hospitalization: I am currently in the hospital I have an upcoming surgery Birth of Baby Death in Family Emergency Situation Other Prayer RequestThis field is hidden when viewing the formSection BreakI would like to share...* Praise Report Prayer Request Would you like for someone to call and pray with you?* Yes No Please Share Your Prayer Request*Praise ReportPlease Share Your Praise Report*Life GroupsTo get connected to a Life Group, click here!Recent HospitalizationDate of Hospitalization* Month Day Year Hospital Location*Circumstance of Hospitalization*Upcoming SurgeryDate of Surgery* Month Day Year Hospital Location*Type of Surgery*OtherIf you need immediate assistance please call the church at 417-581-5433.Please Give Us Details*CounselingOur approach to counseling is to use the Bible to address issues in the lives of individuals, couples, and families.Please tell us a little bit about your situation.*Pre-Marital CounselingFiancé's Name* First Last Fiancé's Gender* Male Female Fiancé's Date of Birth* MM slash DD slash YYYY Fiancé's Phone Number*Fiancé's Email* Fiancé's Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country How long have you been engaged?*How long had you been dating prior to the engagement?*When are you getting married?*Is this your First or Second marriage? First Second Please tell us a little bit about your situation*QuestionPlease share your question*This field is hidden when viewing the formThis field is hidden when viewing the formCommentsPhoneThis field is for validation purposes and should be left unchanged.
