Become a Member

Terms:

$50 / Year

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Mobile Number:* Mobile Number is Required

Date of Birth:* Date of Birth is Required

Who referred you to the church? (Please include their full name):* Who referred you to the church? (Please include their full name) is Required

What is your intention for joining the church?:* What is your intention for joining the church? is Required

Do you have a history with any of the following conditions?:* Do you have a history with any of the following conditions? is Required

High Blood Pressure Heart Condition Schizophrenia Bipolar Disorder Borderline Personality Disorder Multiple Personality Disorder None

Select all that apply:* Select all that apply is Required

I am active or retired law enforcement I am a member of the judicial system I am active military I have top-secret or higher clearance None

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Terms: $50 / Year

Description	Amount
Church Member – Initial Payment	$50.00
Total	$50.00

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Please note, the $50 application fee is non-refundable and covers the administrative costs of reviewing your Health Questionnaire and performing your Discovery call. Upon payment, will are a member in good standing. All individuals, regardless of health status, are welcome to become church members though an individual’s ability to participate in Sacrament Services will be based on your Health Questionnaire and Discovery call. Individuals checking any of the specific health conditions mentioned above may carry a higher risk of being unable to participate in Sacrament Services.