Full Name (required)
Date of Birth (MM/DD/YYYY)
Home Phone (###-###-####)
Work Phone (###-###-####)
Cell Phone (###-###-####)
Address
City
State
Email (required)
Occupation
Marital Status
SingleMarriedDivorcedWidowedRemarried
Church Previously Attended (name of church & city/state)
Family Members In Your Current Household (Name - Relationship - DOB)
Have you been baptized? (Date - MM/DD/YYYY)
If not, do you wish to be?
YesNo
What way(s) do you desire to serve within our church family (based on your interests, abilities, gifts, and time)?
How do you wish to receive church notifications
EmailText MessageVoicemailSocial Media
Are you willing to participate in New Members Orientation Class?
I have received Jesus Christ as my personal Savior and Lord, and desire to become an active member and support the ministries of Priestly Praise Ministries. Therefore I hereby apply for membership.
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