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 FOP Young Adults 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) and ages of child(ren) being dedicated... (separated by a comma)

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

What service will you be baptized in?
Saturday 5:30pm Sunday 9:30am Sunday 11am

Name of person(s) getting baptized with their T-shirt size (XS-4X)... BE SURE to bring a change of clothes and a towel!!

Anything else you'd like to share?