We are very pleased that you've shown interest in becoming a member of JHB Church.

1

Name* This field is required.

Prefix

First Name

Last Name

2

Mobile Number* This field is required.

3

E-mail* This field is required.

example@example.com

4

Birthday* This field is required.

Date

5

Address* This field is required.

Street Address

Street Address Line 2

City

County

Post Code

Country

6

How many live at your residence? (check all that apply)* This field is required.

Myself only

Spouse

One or more children

One or more siblings

Other

7

Marital Status* This field is required.

Single

Married

Divorced

8

Occupation/Profession* This field is required.

9

Baptism* This field is required.Have you been water baptised before?

YESNO

10

Date of baptism * This is a fill in the Where * field. Please add appropriate fields and text.

11

Previous Church details* This field is required.Please give name and address of previous church if applicable.

12

Are you willing to volunteer? * This field is required.

Yes

No

Maybe

13

Select possible volunteer interests* This field is required.Volunteer roles are divided into the five focus areas. Please speak to any of the leaders if you need more info.

Connect

Growth

Service

Admin

Reach

Other

14

Additional information(Family member names and ages, other interests or skills you wish to share, etc.)