Name:			
(required)
Spouse Name:		
(If Applicable)
Children’s Name(s):	
(If Applicable)
Address:			

City:			

State:			

Zip Code:		

Daytime Phone:		
(required)
Evening Phone:		

Cell Phone:		

E-Mail:			
(required)
 
Please tell us how you heard about us:


Please check which areas you would like to receive more information on:
Children’s Ministry Youth Ministry Men’s Small groups Women’s Small Groups
Prayer Groups Evangelism Ministry Concert Ministry Volunteering

If you are interested in volunteering, please check which areas you’d be interested in:
Church Usher Church Cafe Concert CafeChurch Greeter 
Church Production Concert Production 

When done, please  

Once your information is received, one of our church staff members will contact 
you to confirm the date(s) we will be hosting lunch and schedule your visit. 
Thank you for registering. We look forward to meeting you!