Language
English (US)
Spanish (Latin America)
PERSONAL INFO
we keep this data confidential
New Member Form
inquire about membership
Name
*
First Name
Last Name
Residential area
*
Broward
Miami or near it
Miami Beach
Kendall or near it
Other area
Birth Gender
*
Male
Female
Age group
*
18 to 25
26 to 39
40 to 59
60 to 79
Over 80 yrs old
Languages you speak
*
English
Spanish
Portuguese
Other
How you heard about us?
*
Social media / online / website
A member approached me
Met member at biker event
I know a member
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Drug & Alcohol usage
*
I've never been into drugs or alcohol
I've now overcome drug/alcohol usage
I'm getting help for drug/alcohol usage
Address (optional)
Street Address
Apartment number, if any
City
State / Province
Postal / Zip Code
Anything you want to tell us?
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About Your Faith
your beliefs
Your Denomination
*
Baptist
Adventist
Evangelical
Catholic
Mormon
Jehovah Witness
Other
None
Is Salvation free?
*
Yes, for sure
No, it must be earned
Not sure
Don't understand question
Can you lose salvation?
*
Yes
No
Not sure
Don't understand question
How long have you been a Christian?
*
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Ministry experience
how involved are you?
You attend church?
*
I'm looking for one
Regularly
Occasionally
Rarely
Not really
Will you go to heaven?
*
Yes, I know for sure
I'm trying my best to
I'm really not sure
Do you study the Bible?
*
Yes, regularly
Occasionally
Rarely or sometime
Not really, too busy
Other
Share your faith?
*
Yes, intentionally everywhere I go
Yes, only when the subject comes up
I want to learn how
Rarely
Not really
How often can you get involved with our ministry?
*
Available evenings
Available weekends
Once or twice a week
Once or twice a month
My job schedule changes regularly
Will discuss when contacted
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Riding status
Can you ride a motorcycle?
*
I own and ride a motorcycle
I can ride but don't own a motorcycle yet
I plan to learn & buy a motorcycle soon
I am unable to ride a motorcycle
I really do not wish to ride a motorcycle
Have you joined a biker/riding group before
*
I used to be a member of a secular group before
I used to be a member of a Christian group before
I am currently a member of a secular group
I am currently a member of a Christian group
I've never joined a biker or riding group before
Anything you can tell us about your experience with riding groups or biker culture, if any
Submit
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