Membership Membership Care and Support H.O.P.E. Center Victory Place Biblical Counseling Center Baptism New Member Orientation Wedding Baby Dedication House or Business Blessing Update Member Information Membership Update Name* First Middle Last Current Address* Street Address City State / Province / Region ZIP / Postal Code Previous Address (If moved w/in Last three years) Street Address City State / Province / Region ZIP / Postal Code Contact Phone*Alternative PhoneDate of Birth* MM slash DD slash YYYY Gender* Male Female Membership Date* MM slash DD slash YYYY Email Address* Would you like to receive email notifications on news updates and upcoming events?* Yes No Which campus do you frequently attend?* Grand Prairie Southlake Virtual
