Visitors Registration Form
Blessings! We're glad you're here. Please take the time to complete this short new members form
Date of first Visit
Name
*
Email
This address will receive a confirmation email
Mobile Phone
*
Address
--
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
Gender
*
Please select one option.
Female
Male
Select the one that applies
*
Please select one option.
Women's Ministry
Men's Ministry
Youth Ministry (under 35)
Select Option
Women's Ministry
Men's Ministry
Youth Ministry (under 35)
Department Involved in
*
Please select one option.
Damas
Caballeros
Youth
Which language do you prefer?
*
Please select one option.
English
Spanish
Either One
Other
Did someone invite you?/How did you hear about our church?
Would you like to receive text messages, emails, or letters from the church?
*
Please select all that apply.
Text Messages
Emails
Letters
All
Notes:
USO OFICIAL -Registracion
Status
*
Please select one option.
Visitor
Attends another church
Submit
Description
Blessings! We're glad you're here. Please take the time to complete this short new members form
×
Please Fix the Following