Membership Form
* First Name
* Last Name
* Email
* Mobile Phone
* Address
* City
* State/Province
* Zip/Postal Code
* I have been baptized.
Select one
No, but I'm interested.
Yes, as an infant.
Yes, after I gave my life to Christ.
I would like to discuss further.
* I am in agreement with the church's statement of beliefs.
Select one
Yes
No
I have questions.
Spiritual Gifts
Administration
Discernment
Evangelism
Exhortation
Faith
Giving
Helps
Leadership
Mercy
Pastor
Prophecy
Service
Teaching
Word of Knowledge
Word of Wisdom
* Ministry Interests
Adult
Children
City Service
Craftsmanship
Custodial
Divorce
Financial
Missions
Office help
Parking Lot
Recovery
Small groups
Students
Welcome Team
Worship
Ministry experiences and comments.
* Are you in a small group. If so, which one?
* Have you surrendered your life to Jesus? Briefly share your faith story.
* Digital Signature
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