INFO  Form

Phone

City

State

ZIP/ Postal Code

Married Single Divorced Widow/ Widower

Spouse's Name

Spouse's Phone Number

Spouse's Birth Date (MM/DD/YYYY)

Names of Children Living at Home (include their age)

Tell us about you...
I'm a first time guest! I'm committing my life to Christ! I'm renewing my commitment to Christ!

I'd like to talk to a staff minister Please update my member information

I'd like more information on how to get involved and/or serve in these areas...
FOP Kidz Nursery FOP YTH Youth Worship Altar Team Ladies Ministry Breaking Chains

SALT Seniors Widows Worship Team FOP Groups Missions/ Outreach Hospitality

Ushers Benevolence Nursing Home Media/ Production FOP Connect Team REACH Team

I'd like to sign up for Child Dedication in...
April October

Name(s) of child(ren) being dedicated...

I'd like to sign up for Baptism in...
January March May July September November

Name(s) of person getting baptized... (BE SURE to bring a change of clothes and a towel!!)

Anything else you'd like to share?