The Power Center Discipleship Form

  • The Power Center, International

    Form of Discipleship

  • We are excited and grateful that you have decided to join this great body of believers. 

    We are expecting great things for you and your family!  We know that your life will never be the same. 

    Please note -

    • Only one form is needed per family.
    • Your information will never be shared nor sold to any person(s) or organization.  It is only used within The Power Center, Int.  Your security and privacy are very important to us.

    God loves you with an everlasting love and we love you too! 

    Now, welcome to one of God's charging stations... The Power Center!

     

  • About You

  • Marital Status
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Preferred form of contact*
  • Your Birthday*
     / /
  • Can we publish this Birthday as we celebrate you? -- We will only publish the month and day.*
  • Have you accepted Jesus Christ into your life as your personal Lord and Savior?*

  • About Your Spouse

    skip this section if not applicable
  • Do you wish to Skip this section?*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Preferred form of contact*
  • Spouse Birthday*
     - -
  • Can we publish this Birthday as we celebrate you? -- We will only publish the month and day.*
  • Have you accepted Jesus Christ into your life as your personal Lord and Savior?*

  • About the Kiddos

    Skip this section, if not applicable.
  • By submitting this completed form you are confirming that you have or will complete the necessary covenant classes.*

  • Almost Done!!

    Please click on the Submit my information button below! Thank you!
  • Should be Empty: