BECOME A MEMBER First Name Last Name Phone Email MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Day12345678910111213141516171819202122232425262728293031 Age GroupSelect18-2425-3435-4445-5455-6465-7475+ Ministries you would like to participate inChoirUsher BoardYouth Sponsors CommitteeOutreachUnsure at this time GenderMaleFemale Have You accepted Jesus as your personal saver?YesNo Comments
