Join Life Changers Church

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First Name *

Last Name *

Email Address *

Username (lowercase alphanumeric) *

Password (type this twice please) *

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Additional Info

Home Phone

Work Phone

Cell Phone *

Stress Address *

City *

Post Code *

Occupation

Marital Status *

Previous Church attended (City/State) *

Names of family members in your current household and your relationship to them

Have you been baptized? *
Yes No, would like to be No, not ready to be

If baptized, what date?

What way(s) do you desire to serve within our church family (based on your interests, abilities, gifts, and time)? *

How many New Members Orientation Classes have you attended? *

Security Verification

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