New Member Registration

New Member Registration Please complete a separate form for each adult family member using the "+Add Another Person" button. To add children, click the "Continue" button at the bottom of the page after the information for all adults is entered. Then, enter the information for each child using the link provided in the subsequent message.

* Date Joined the Church

* First Name

Middle Name

* Last Name

Suffix

* Gender

* Birth Date

* Have you been baptized?

Baptism Date

Ministry Interests

* T-Shirt Size

* Mobile Phone

Entering your mobile phone will opt you in for receiving occasional updates, donation solicitations and promotional or marketing content (freq may vary) via text message. Reply STOP at any time to opt out. Reply HELP for more information. Message and data rates may apply. Privacy Policy

* Email

* Address

Address 2 (Apt/Suite # etc.)

* City

* State/Province

* Zip/Postal Code

* Marital Status

Anniversary Date

Military Service Status

Military Branch Served

* Please list the name of anyone other than Pastor Carlos who influenced you to join/attend?

* Did you complete the form with or without assistance?

* We like to share the good news of Jesus Christ through audio and video. Occasionally, photos or videos of members may appear on our church website, social media, or Carlos D. Coleman Ministries� platforms. We do not include names or tag individuals. By selecting consent, you approve the use of your or your family�s image to help spread the Gospel.

Prayer Requests Please enter your prayer requests.

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