SPIRIT GLORY WORSHIP CENTER New Members Form

Date Joined

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Name

First NameLast Name
Address
Apt. #
City
State
Zip Code
Home Phone
Format: (000) 000-0000.
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Marital Status
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Emergency Contact Information
What is your age?
Name

First NameMiddle NameLast Name
Name
Name
phone
Format: (000) 000-0000.
Are you a Satellite Member
- List the members of your family:
- Name
  
  First NameLast Name
- Age
- D.O.B.
- Name
  
  First NameLast Name
- Age
- D.O.B.
- Name
  
  First NameLast Name
- Age
- D.O.B.
- Name
  
  First NameLast Name
- Age
- D.O.B.
- Name
  
  First NameLast Name
- Age
- D.O.B.
- Name
  
  First NameLast Name
- Age
- D.O.B.
- Occupation
- I would like to become a member of Spirit of Glory Worship Center Intl. By becoming a member, I set myself in agreement with the vision of Spirit of Glory and Apostle John F. Harris. It is my desire to help fulfill the purpose and plan for this ministry by yielding my gifts and abilities that God has given me to help build the Kingdom of God.
- Name
  
  First NameLast Name
- Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Signature
- Should be Empty: