Are you joining as a City Wide (online) Member or an In-Person Member? *

First Name *

Last Name *

Phone Number *

Mobile Number *

Email Address *

Date of Birth *

Age *

Gender *

Home Address *

Home City *

Home State *

Home Zip Code *

Best way to contact you? *

Marital Status *

If married, please list your spouses name. *

Anniversary Date *

Please list the name(s) and age(s) of all those who attend service with you regularly. *

What Community Serve Teams would you like to be apart of?

What focus group would you like to be apart of?

What areas of your spiritual journey can we help you with the most?

What are the most important aspects you are looking for in your church home?