Become A Member

Full Name *

What is your gender

Male

Female

Married or No

Yes

Spouse's Full Name (Only fill out if they are joining)

Date of birth

Email *

Address

Street Address

City

State

Country

Postal Code

Phone *

Phone Number of Spouse

Please list the Name and Birthday of Children Under the Age of 18

Have you accepted Jesus Christ as your Lord and Savior?

Yes

If No, Please read the Romans Road to Salvation Scriptures:

Romans 10:9–11 — That if thou shalt confess with thy mouth the Lord Jesus, and shalt believe in thine heart that God hath raised him from the dead, thou shalt be saved. For with the heart man believeth unto righteousness; and with the mouth confession is made unto salvation. For the scripture saith, Whosoever believeth on him shall not be ashamed.
Romans 10:13 — For whosoever shall call upon the name of the Lord shall be saved.