New GHOP Member
*
Yes
No
Are you a current member submitting this form to update your information?
*
No
Yes
Rows
yes or no
Year
Have you attended new members class?
Yes
No
*
Mr.
Mrs.
Miss.
Joined GHOP Date
-
Month
-
Day
Year
If you are joining today, please enter today’s date. If you are unsure, we will record the date for you.
Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State
Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth (We want to celebrate you!)
-
Month
-
Day
Year
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Occupation
Gifts and Talents
Family Information
Married
Single
Spouse Name
Husband or Wife name
Do you have any children?
Yes
No
Number of Children
Please list children information below
Children information
Rows
Name
Age
Non- Allergies
1
2
3
4
5
6
7
8
I AM A GUEST OF
How did you hear about us?
Facebook
Friend
Radio
Website
Other
Other (Please specify):
Visitation Information
First time visitor
Returning visitor
I am new to the area
Learn more about the church
Other
Other (Please specify):
What's Next?
I want to dedicate my life to Christ for the first time.
I want to rededicate my life to Christ
I am interested in getting baptized.
I would like to talk to the Pastor.
I want to become a member.
I want to volunteer for a ministry.
Other
Other (Please specify):
Is there anything we can pray for?
What are you looking for in a church?
Upload Picture Here If Visitor Joined GHOP
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OFFICE USE ONLY: Submitted By A GHOP Leader
First Name
Last Name
Date Submitted
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Month
-
Day
Year
Date
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