Registration & Affiliation Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Personal InformationFirst Name *FirstLastEmail *EmailConfirm EmailAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code Name Registration Christ Membership InformationI am applying to become a member of Living Faith Tabernacle *YesNoHave you attended this church before? *YesNoFor how long / Date *Have you accepted Jesus Christ as your Lord and Savior? *YesNoHave you been baptized? *YesNoIn ProgressChurch InvolvementWould you like to serve in a ministry? *YesNoPreferred Ministry *ChoirUshersYouthChildrenEvangelismPrayerOtherPlease write it *Emergency ContactFirst Name *FirstLastPhone Number *Declaration *I voluntarily apply to become a member of Living Faith Tabernacle and agree to respect its values, vision, and teachings.Registration and Affiliation Form Date &Time *DateTimeSubmit
