CORE CLASS REGISTRATION

Reminder: We will never share your information with anyone.

Today's Date:*
Name:*
Address:*
E-mail:*
Cell:
-
DOB:*
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Marital Status:*
Spouse's name:
Children?*
Please list name and DOB for each child:
How would you describe your relationship to Christ?*
Have you been baptized?*
Date and location of baptism, if applicable:
Name of previous church:
Years involved at previous church:
Position of service at previous church:
Word Verification: