Becoming a member!

nEW MEMBER FORM

Due to Covid-19 regulations in New York. We require all guests and members to register here before attending an in-house service service. We can’t wait to see you!

VERY IMPORTANT: If you are bringing guests please let us know.

First Name

Middle Name

Last Name

Phone Number

Address

City

State

ZIP Code

How did you hear about us?

May we text you?

May we email you?

May we include you in event photographs/videos/etc…

Are you married?

If yes, please tell us your anniversary.

Name of spouse

Emergency Contact Name & Phone:

Your Birthday (Month/Day):

Number of children

Have you accepted Jesus Christ as your personal Lord and Savior?

Do you own a Bible ?

Are you familiar with and subscribe to our statement of faith?

Have you been baptized?

If no, would you like to be baptized?

Have you previously served in a leadership role?

If yes please explain