New Members/New Believer Intake Form
Please fill out this form and click submit.
TODAY I:
*
Please select all that apply.
Accepted Jesus Christ as my Savior
Became a partner (member)
Re-dedicated my life as a believer
Information
Date
*
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Are you open to receiving a text?
*
Please select all that apply.
Yes
No
Are you open to receiving emails?
*
Please select all that apply.
yes
no
Address
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Spouse's Name
Children's Information
Please provide us with your children's (18 and under) information. Name, Birthdate and Grade
Children's Information
STAY PLUGGED IN WITH TC!
If you would like to stay updated about our upcoming events and more, please opt-in below.
Stay Plugged in with TC?
*
Please select all that apply.
Yes via Text
Yes via Email
Yes via Email & Text
No thank you
Submit
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