A reviewable form for paper or fillable-PDF opt-in.

This form documents a person's express consent to Wayside Church text updates. It does not submit personal information through the website.

Download Fillable PDF Review All Consent Methods

Wayside Church

Written SMS Consent Form

Program number
(877) 826-0218

Use this form only when a person chooses written consent. Completing or signing it is optional and is not a condition of attending, giving, registering for an event, or receiving ministry care.

Full name Mobile phone

I agree to receive recurring text messages from Wayside Church, including service reminders, prayer requests, church announcements, and ministry updates, at the mobile number entered above. Message frequency varies. Msg & data rates may apply. Reply STOP to opt out or HELP for help. Consent is not a condition of attending, giving, or receiving ministry care. Read the Privacy Policy and Terms & Conditions.

Signature or typed name Date Received by Wayside staff member Consent record time

Staff recordkeeping

Return the completed form to Wayside staff. Staff retain the signed form, disclosure version, date and time, mobile number, and receiving staff member. Staff then send an immediate confirmation identifying Wayside Church with frequency, rates, HELP, and STOP instructions.

Form version: August 18, 2026

Download Fillable PDF

Nothing entered here is transmitted to Wayside Church. Print or save the completed form and return it to a staff member.