House Church Registration Form
Please answer all of the questions below, one per House Church.
Your Name
*
First Name
Last Name
Your Spouse's Name (if married)
First Name
Last Name
Your Best Email
*
example@example.com
Your Best Phone Number
*
Please enter a valid phone number.
Your Date of Birth
*
/
Month
/
Day
Year
Will Your House Church Take Place in Your Home?
*
Yes
No
Your Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Address of Your House Church:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
If you have not already, please watch the 7-minute video above
*
City of your house church:
*
State of your house church:
*
example: CA
What language(s) do you speak in your house church?
*
What led you to partner with us?
*
The Rock Online
House Church Information Calls
Solid Lives House Churches
Other
Do you have any questions or comments for us?
SUBMIT
Should be Empty: